Douglas Charles Imig, P.T.

Primary specialty

SpecialistTaxonomy code 174400000X

License

PT 002595 Issued in GA

Practice address

700 Sunset Dr.
Suite 301
Athens, GA 30606

Phone

(706) 613-7433

Fax

(706) 613-7434

NPI assigned

Jun 28, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1151452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1063440352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7124",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306047124",
            "telephone_number": "706-613-7433",
            "fax_number": "706-613-7434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 SUNSET DR.",
            "address_2": "SUITE 301",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "30606",
            "telephone_number": "706-613-7433",
            "fax_number": "706-613-7434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IMIG",
        "first_name": "DOUGLAS",
        "middle_name": "CHARLES",
        "name_prefix": "Mr.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "GA",
            "license": "PT 002595",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Uwagbae Ibizugbe
• Ngozi Ifeadi, M.D.
• Angela Ashmitha Ignatius
• Tochuku Ikedionwu, LMSW
• Jane Iluba, MD
• In Depth Therapy, LLC
• In Home Health LLC
• Independent Physical Therapy of Georgia, LLC
• Katherine Ingerson, RDN, LD
• Joseph Nathaniel Ingle, PA-C

• All providers in Athens, GA
• Specialist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.