NPIMap

Organization Active NPI

The Tattnall Bank

Doing business as Tattnall Medical Group

  • Family Medicine Physician
  • Reidsville, GA
National Provider Identifier
1053578666
Registry record updated May 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
THE TATTNALL BANK
Doing business as
Tattnall Medical Group
Practice address
125 Memorial Dr
Reidsville, GA 30453-4641
Phone
(912) 557-1000
Fax
(912) 557-1009
NPI assigned
May 21, 2008
Last updated
May 21, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2008

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

Authorized official

Name
Karen Oneal
Title
Ceo
Phone
(912) 557-1000

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X Primary
Orthopaedic Surgery Physician 207X00000X

Addresses

Primary practice location

125 Memorial Dr
Reidsville, GA 30453-4641

Mailing address

125 Memorial Dr
Reidsville, GA 30453-4641
Phone (912) 557-1000

Other names 1

  • Tattnall Medical Group Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Tattnall Community Hospital3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

125 Memorial Dr
Reidsville, GA 30453
Phone (912) 557-3434

NPI Registry JSON

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

{
    "created_epoch": "1211328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211328000000",
    "number": "1053578666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 MEMORIAL DR",
            "city": "REIDSVILLE",
            "state": "GA",
            "postal_code": "304534641",
            "telephone_number": "912-557-1000",
            "fax_number": "912-557-1009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 MEMORIAL DR",
            "city": "REIDSVILLE",
            "state": "GA",
            "postal_code": "304534641",
            "telephone_number": "912-557-1000",
            "fax_number": "912-557-1009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE TATTNALL BANK",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-21",
        "last_updated": "2008-05-21",
        "status": "A",
        "authorized_official_last_name": "ONEAL",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "912-557-1000"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tattnall Medical Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Reidsville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 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.

Verify at the official NPI Registry.