NPIMap

Organization Active NPI

Denis Morin

  • Primary Care Clinic/Center
  • Buchanan, GA
National Provider Identifier
1003020967
Registry record updated Jul 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
024466 Issued in GA
Legal business name
DENIS MORIN
Practice address
30 Buchanan Byp
Buchanan, GA 30113-4924
Phone
(770) 646-8281
Fax
(770) 646-3579
NPI assigned
May 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Melanie D Coggins
Title
Office Manager
Phone
(770) 646-8281

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 024466 GA Primary

Addresses

Primary practice location

30 Buchanan Byp
Buchanan, GA 30113-4924

Mailing address

30 Buchanan Byp
Buchanan, GA 30113-4924
Phone (770) 646-8281

Other identifiers 3

IdentifierTypeStateIssuer
113959OtherRURAL HEALTH MEDICARE PIN
DD7682OtherRAILROAD MEDICARE PIN
231090380AMedicaidGA

Other names 1

  • BUCHANAN MEDICAL CLINIC Doing business as

National Provider Directory

National Provider Directory

Locations

30 Buchanan Byp
Buchanan, GA 30113
Phone (770) 646-8281

2908 Business 27
Buchanan, GA 30113
Phone (770) 646-8281

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280275200000",
    "number": "1003020967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 BUCHANAN BYP",
            "city": "BUCHANAN",
            "state": "GA",
            "postal_code": "301134924",
            "telephone_number": "770-646-8281",
            "fax_number": "770-646-3579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 BUCHANAN BYP",
            "city": "BUCHANAN",
            "state": "GA",
            "postal_code": "301134924",
            "telephone_number": "770-646-8281",
            "fax_number": "770-646-3579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENIS MORIN",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-10",
        "last_updated": "2010-07-28",
        "status": "A",
        "authorized_official_last_name": "COGGINS",
        "authorized_official_first_name": "MELANIE",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "770-646-8281"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "GA",
            "license": "024466",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RURAL HEALTH MEDICARE PIN",
            "identifier": "113959",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PIN",
            "identifier": "DD7682",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "231090380A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BUCHANAN MEDICAL CLINIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Buchanan, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.