Putnam General Hospital Medical Associates, LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

PUTNAM GENERAL HOSPITAL MEDICAL ASSOCIATES, LLC

Doing business as

PGH Medical Associates

Practice address

1000 Cowles Clinic Way
Ste W-2
Greensboro, GA 30642-4539

Phone

(706) 999-0270

Fax

(706) 999-0274

NPI assigned

Apr 12, 2012

Last updated

Apr 12, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Darrell M Oglesby

Title

Administrator

Phone

(706) 923-2002

Specialties & licenses 1

Addresses

Other names 1

• PGH Medical Associates Doing business as

Locations

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

{
    "created_epoch": "1334188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334188800000",
    "number": "1043577265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 LAKE OCONEE PKWY",
            "city": "EATONTON",
            "state": "GA",
            "postal_code": "310246054",
            "telephone_number": "706-923-2002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 COWLES CLINIC WAY",
            "address_2": "STE W-2",
            "city": "GREENSBORO",
            "state": "GA",
            "postal_code": "306424539",
            "telephone_number": "706-999-0270",
            "fax_number": "706-999-0274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PUTNAM GENERAL HOSPITAL MEDICAL ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-12",
        "last_updated": "2012-04-12",
        "status": "A",
        "authorized_official_last_name": "OGLESBY",
        "authorized_official_first_name": "DARRELL",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "706-923-2002"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PGH Medical Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Internal Medicine Physician in Greensboro, GA
• Providers in Greensboro, GA by specialty
• Internal Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2012; 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.