Active NPI
Urology Clinics of North Texas, PLLC
- Urology Physician
- Augusta, GA
National Provider Identifier
1063879005
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- Legal business name
- UROLOGY CLINICS OF NORTH TEXAS, PLLC
- Practice address
- 971 Broad St
#3
Augusta, GA 30901-7225 - Phone
- (706) 434-2600
- Fax
- (706) 434-2639
- NPI assigned
- Jan 21, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jerri D Wilson
- Title
- Ceo
- Phone
- (214) 691-1902
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | Primary |
Addresses
Primary practice location
971 Broad St
#3
Augusta, GA 30901-7225
Mailing address
7515 Greenville Ave
Suite 900
Dallas, TX 75231-3831
Phone (214) 691-1902
National Provider Directory
National Provider DirectoryLocations
971 Broad St
#3
Augusta, GA 30901
Phone (706) 434-2600
1650 Republic Pkwy
Ste 150
Mesquite, TX 75150
Phone (214) 692-8262
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1453334400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1453334400000",
"number": "1063879005",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7515 GREENVILLE AVE",
"address_2": "SUITE 900",
"city": "DALLAS",
"state": "TX",
"postal_code": "752313831",
"telephone_number": "214-691-1902"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "971 BROAD ST",
"address_2": "#3",
"city": "AUGUSTA",
"state": "GA",
"postal_code": "309017225",
"telephone_number": "706-434-2600",
"fax_number": "706-434-2639"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "UROLOGY CLINICS OF NORTH TEXAS, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-01-21",
"last_updated": "2016-01-21",
"status": "A",
"authorized_official_last_name": "WILSON",
"authorized_official_first_name": "JERRI",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "214-691-1902"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Urology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Augusta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.