Organization Active NPI

Worldcare International Corporation

  • Physical Therapist
  • Macon, GA
National Provider Identifier
1003287616
Registry record updated Oct 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
002435 Issued in GA
Legal business name
WORLDCARE INTERNATIONAL CORPORATION
Practice address
4500 Billy Williamson Dr
Suite 9
Macon, GA 31206-8743
Phone
(478) 538-3708
Fax
(478) 474-7713
NPI assigned
Oct 8, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2015

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

Authorized official

Name
Mrs. Judie A Dumelod, PT, CKTP, IMC, C/NDTNPI 1285795831
Title
Owner
Phone
(478) 474-4035

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 002435 GA Primary

Addresses

Primary practice location

4500 Billy Williamson Dr
Suite 9
Macon, GA 31206-8743

Mailing address

310 Ashville CT
Macon, GA 31210-1669
Phone (478) 474-4035

Other identifiers 2

IdentifierTypeStateIssuer
000760702BMedicaidGA
000760702FMedicaidGA

Other names 1

  • KIDS IN WATERLAND Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Citadel Therapy Services2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

4500 Billy Williamson Dr
Ste 9
Macon, GA 31206
Phone (478) 538-3708

Practitioners & affiliated clinicians

Practitioners 3

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": "1444262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444262400000",
    "number": "1003287616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 ASHVILLE CT",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312101669",
            "telephone_number": "478-474-4035",
            "fax_number": "478-474-7713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 BILLY WILLIAMSON DR",
            "address_2": "SUITE 9",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312068743",
            "telephone_number": "478-538-3708",
            "fax_number": "478-474-7713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WORLDCARE INTERNATIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-08",
        "last_updated": "2015-10-08",
        "status": "A",
        "authorized_official_last_name": "DUMELOD",
        "authorized_official_first_name": "JUDIE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "478-474-4035",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PT, CKTP, IMC, C/NDT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "002435",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000760702B",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000760702F",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "KIDS IN WATERLAND",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Macon, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2015; 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.