NPIMap

Organization Active NPI

Sumter Regional Medical Group, PC

  • Specialist
  • Americus, GA
National Provider Identifier
1073685996
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
SUMTER REGIONAL MEDICAL GROUP, PC
Practice address
120 Highway 19 North
Americus, GA 31709
Phone
(229) 928-4144
Fax
(229) 928-3410
NPI assigned
Nov 15, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Myra Grimsley
Title
Cbo Director
Phone
(229) 928-4144

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X Primary

Addresses

Primary practice location

120 Highway 19 North
Americus, GA 31709

Mailing address

120 Highway 19 North
Americus, GA 31709
Phone (229) 928-4144

National Provider Directory

National Provider Directory

Locations

1035 E Forsyth St
Americus, GA 31709
Phone (229) 924-5200

401 S Lee St
Americus, GA 31709
Phone (229) 924-8841

509 Sumter St
Ste B
Montezuma, GA 31063
Phone (229) 928-1909

Practitioners & affiliated clinicians

Practitioners 42

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.

View all 42

NPI Registry JSON

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1073685996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 HIGHWAY 19 NORTH",
            "city": "AMERICUS",
            "state": "GA",
            "postal_code": "31709",
            "telephone_number": "229-928-4144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 HIGHWAY 19 NORTH",
            "city": "AMERICUS",
            "state": "GA",
            "postal_code": "31709",
            "telephone_number": "229-928-4144",
            "fax_number": "229-928-3410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMTER REGIONAL MEDICAL GROUP, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GRIMSLEY",
        "authorized_official_first_name": "MYRA",
        "authorized_official_title_or_position": "CBO DIRECTOR",
        "authorized_official_telephone_number": "229-928-4144"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Americus, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.