Regional Firstcare

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

027103 Issued in GA

Legal business name

REGIONAL FIRSTCARE

Practice address

528 Panther Drive
Jefferson, GA 30549

Phone

(706) 387-5555

NPI assigned

Feb 16, 2007

Organization subpart

No

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

Authorized official

Name

John Rodkey

Title

Administrative Director

Phone

(706) 475-4920

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1171584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1003950825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "528 PANTHER DRIVE",
            "city": "JEFFERSON",
            "state": "GA",
            "postal_code": "30549",
            "telephone_number": "706-387-5555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "528 PANTHER DRIVE",
            "city": "JEFFERSON",
            "state": "GA",
            "postal_code": "30549",
            "telephone_number": "706-387-5555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGIONAL FIRSTCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RODKEY",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "ADMINISTRATIVE DIRECTOR",
        "authorized_official_telephone_number": "706-475-4920"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medicine",
            "state": "GA",
            "license": "027103",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Emergency Medicine Physician in Jefferson, GA
• Providers in Jefferson, GA by specialty
• Emergency Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.