NPIMap

Organization Active NPI

Carrollton Orthopaedic Clinic PC

Doing business as Carrollton Orthopaedic Clinic

  • Pharmacy
  • Bremen, GA
National Provider Identifier
1013376490
Registry record updated Mar 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
038964 Issued in GA
Legal business name
CARROLLTON ORTHOPAEDIC CLINIC PC
Doing business as
Carrollton Orthopaedic Clinic
Practice address
204 Allen Memorial Dr Ste 102
Bremen, GA 30110-2063
Phone
(727) 755-0679
NPI assigned
Feb 15, 2016
Last updated
Mar 3, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2016

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

Authorized official

Name
James Gilbert
Title
Cfo
Phone
(727) 755-0693

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 038964 GA Primary
Clinic Pharmacy 3336C0002X

Addresses

Primary practice location

204 Allen Memorial Dr Ste 102
Bremen, GA 30110-2063

Mailing address

311 Park Place Blvd
Suite 500
Clearwater, FL 33759-4904
Phone (727) 755-0693

Other names 1

  • Carrollton Orthopaedic Clinic Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Carrollton Ortho Clinic5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

Locations

204 Allen Memorial Dr
Ste 102
Bremen, GA 30110
Phone (727) 755-0679

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.1603

NPI Registry JSON

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

{
    "created_epoch": "1455494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456963200000",
    "number": "1013376490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 PARK PLACE BLVD",
            "address_2": "SUITE 500",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337594904",
            "telephone_number": "727-755-0693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 ALLEN MEMORIAL DR STE 102",
            "city": "BREMEN",
            "state": "GA",
            "postal_code": "301102063",
            "telephone_number": "727-755-0679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARROLLTON ORTHOPAEDIC CLINIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-15",
        "last_updated": "2016-03-03",
        "status": "A",
        "authorized_official_last_name": "GILBERT",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "727-755-0693"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "GA",
            "license": "038964",
            "primary": true
        },
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Carrollton Orthopaedic Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bremen, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2016; 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.