Deborah J Charles, MD

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

028742 Issued in GA

Practice address

902 N 7TH St
Cordele, GA 31015-3234

Phone

(229) 276-3356

Fax

(229) 276-3382

NPI assigned

Dec 14, 2005

Last updated

Apr 1, 2010By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• South Georgia Radiology Associates, LLC

  • Diagnostic Radiology Physician
  • Savannah, GA
  • NPI 1760669931
  Medicare reassignment NPD
• Radiology Associates of Cordele

  • Diagnostic Radiology Physician
  • Cordele, GA
  • NPI 1245214709
  Authorized official Same address or phone
• Hospital Authority of the City of Bainbridge and Decatur County

  dba Memorial Hospital and Manor

  • Multi-Specialty Clinic/Center
  • Bainbridge, GA
  • NPI 1053388256
  NPD (past)
• Northside Imaging LLC

  • Diagnostic Radiology Physician
  • Warner Robins, GA
  • NPI 1316394976
  NPD (past)
• South Georgia ER Services, LLC

  • Emergency Medicine Physician
  • Savannah, GA
  • NPI 1548763899
  NPD (past)
• Copper Basin Community Hospital Inc.

  dba Ed Copper Basin Medical Center

  • Emergency Medicine Physician
  • Copperhill, TN
  • NPI 1437203155
  NPD (past)

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

{
    "created_epoch": "1134518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1270080000000",
    "number": "1053396739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 138",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319020138",
            "telephone_number": "229-276-3356",
            "fax_number": "229-276-3382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "902 N 7TH ST",
            "city": "CORDELE",
            "state": "GA",
            "postal_code": "310153234",
            "telephone_number": "229-276-3356",
            "fax_number": "229-276-3382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHARLES",
        "first_name": "DEBORAH",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-14",
        "last_updated": "2010-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "GA",
            "license": "028742",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000400562L",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Careconnect Health, Inc. (CareConnect Clinic)
• Linda Carter, PH.D.
• Marilyn Y. Carter, MD
• Kameron McKinley Causey, DPT
• Darryl Antoinia Chapman Sr.
• Lynn M Chavarria, RN,MSN
• Choice Select Home Care
• Keyondra Clark, BSN RN
• Christy Jane Clary, PHARM.D.
• Beverly Jane Walker Clements, PHARM.D

• Diagnostic Radiology Physician in Cordele, GA
• Providers in Cordele, GA by specialty
• Diagnostic Radiology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.