Active NPI
Alcovy Emergency Physicians
- Emergency Medicine Physician
- Monroe, GA
National Provider Identifier
1023280963
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- Legal business name
- ALCOVY EMERGENCY PHYSICIANS
- Practice address
- 330 Alcovy St
Monroe, GA 30655-2140 - Phone
- (770) 267-1789
- NPI assigned
- Apr 1, 2008
- Last updated
- Apr 1, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Gregory Byrne
- Title
- Owner
- Phone
- (800) 355-0808
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | Primary |
Addresses
Primary practice location
330 Alcovy St
Monroe, GA 30655-2140
Mailing address
PO Box 41533
Philadelphia, PA 19101
Phone (800) 507-8874
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 929632 | Other | GA | BLUE SHIELD |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1207008000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1207008000000",
"number": "1023280963",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 41533",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "19101",
"telephone_number": "800-507-8874",
"fax_number": "727-507-3618"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "330 ALCOVY ST",
"city": "MONROE",
"state": "GA",
"postal_code": "306552140",
"telephone_number": "770-267-1789"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ALCOVY EMERGENCY PHYSICIANS",
"organizational_subpart": "NO",
"enumeration_date": "2008-04-01",
"last_updated": "2008-04-01",
"status": "A",
"authorized_official_last_name": "BYRNE",
"authorized_official_first_name": "GREGORY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "800-355-0808"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "929632",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Monroe, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.