Roger W Huelsnitz MD PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

030103 Issued in GA

Legal business name

ROGER W HUELSNITZ MD PC

Practice address

80 Huxford St
Homerville, GA 31634-2356

Phone

(912) 487-1737

Fax

(912) 487-1739

NPI assigned

Dec 1, 2008

Last updated

Dec 1, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Carleen C Wilson

Title

Office Manager

Phone

(912) 487-1737

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1228089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228089600000",
    "number": "1073768388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 HUXFORD ST",
            "city": "HOMERVILLE",
            "state": "GA",
            "postal_code": "316342356",
            "telephone_number": "912-487-1737",
            "fax_number": "912-487-1739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 HUXFORD ST",
            "city": "HOMERVILLE",
            "state": "GA",
            "postal_code": "316342356",
            "telephone_number": "912-487-1737",
            "fax_number": "912-487-1739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROGER W HUELSNITZ MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-01",
        "last_updated": "2008-12-01",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "CARLEEN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "912-487-1737",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "030103",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000355264F",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Orthopedic Surgeons of Georgia LLC (Orthopedic Surgeons of Georgia - Homerville)
• Daniel Ospina
• Ann Plummer
• Victor Powell, PHARMD
• Victor Lawrence Proctor, RN
• Samuel B Cobarrubias MD, PC
• Charles Semones, M.D.
• Shannon D Smith D. C P.C (Smith Family Chiropractic)
• Shuman Healthcare of Homerville
• Stephanie Rena Sloan, PHARMD

• Family Medicine Physician in Homerville, GA
• Providers in Homerville, GA by specialty
• Family Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 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.