Organization Active NPI

Georgia Military College

  • Student Health Clinic/Center
  • Milledgeville, GA
National Provider Identifier
1063766731
Registry record updated Nov 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student Health Clinic/CenterTaxonomy code 261QS1000X
Legal business name
GEORGIA MILITARY COLLEGE
Practice address
201 E Greene St
Milledgeville, GA 31061-3519
Phone
(478) 387-4712
Fax
(478) 445-0841
NPI assigned
Nov 2, 2012
Last updated
Nov 2, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2012

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

Authorized official

Name
Ed Madden
Title
VP of Business Affairs/Cfo
Phone
(478) 387-4819

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student Health Clinic/Center 261QS1000X Primary

Addresses

Primary practice location

201 E Greene St
Milledgeville, GA 31061-3519

Mailing address

201 E Greene St
Milledgeville, GA 31061-3519
Phone (478) 387-4712

Other names 1

  • Georgia Military College Athletics Other name

National Provider Directory

National Provider Directory

Locations

201 E Greene St
Milledgeville, GA 31061
Phone (478) 387-4764

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1351814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351814400000",
    "number": "1063766731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 E GREENE ST",
            "city": "MILLEDGEVILLE",
            "state": "GA",
            "postal_code": "310613519",
            "telephone_number": "478-387-4712",
            "fax_number": "478-445-0841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 E GREENE ST",
            "city": "MILLEDGEVILLE",
            "state": "GA",
            "postal_code": "310613519",
            "telephone_number": "478-387-4712",
            "fax_number": "478-445-0841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGIA MILITARY COLLEGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-02",
        "last_updated": "2012-11-02",
        "status": "A",
        "authorized_official_last_name": "MADDEN",
        "authorized_official_first_name": "ED",
        "authorized_official_title_or_position": "VP OF BUSINESS AFFAIRS/CFO",
        "authorized_official_telephone_number": "478-387-4819"
    },
    "taxonomies": [
        {
            "code": "261QS1000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Student Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Georgia Military College Athletics",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Milledgeville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 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.