NPIMap

Organization Active NPI

Athens Regional Physician Services, Inc.

  • Family Medicine Physician
  • Athens, GA
National Provider Identifier
1083763080
Registry record updated Nov 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
ATHENS REGIONAL PHYSICIAN SERVICES, INC.
Practice address
1500 Oglethorpe Avenue, Suite 600a
Athens, GA 30606
Phone
(706) 369-5440
Fax
(706) 369-5490
NPI assigned
Jan 9, 2007
Last updated
Nov 10, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2015

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

Authorized official

Name
Ms. Christy Wilbanks
Title
Assoc Dir Revenue Cycle Management
Phone
(706) 369-5472

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X Primary

Addresses

Primary practice location

1500 Oglethorpe Avenue, Suite 600a
Athens, GA 30606

Mailing address

PO Box 161463
Atlanta, GA 30321
Phone (706) 369-5440

Other identifiers 1

IdentifierTypeStateIssuer
GRP5135OtherGAMEDICARE GROUP NUMBER

National Provider Directory

National Provider Directory

Interoperability endpoints

  • Direct secure messaging: aurelio.manto@athenshealth.gadirect.net
  • Direct secure messaging: richard.baehler@athenshealth.gadirect.net

NPI Registry JSON

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447113600000",
    "number": "1083763080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 161463",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "30321",
            "telephone_number": "706-369-5440",
            "fax_number": "706-369-5490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 OGLETHORPE AVENUE, SUITE 600A",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "30606",
            "telephone_number": "706-369-5440",
            "fax_number": "706-369-5490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATHENS REGIONAL PHYSICIAN SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-09",
        "last_updated": "2015-11-10",
        "status": "A",
        "authorized_official_last_name": "WILBANKS",
        "authorized_official_first_name": "CHRISTY",
        "authorized_official_title_or_position": "ASSOC DIR REVENUE CYCLE MANAGEMENT",
        "authorized_official_telephone_number": "706-369-5472",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP NUMBER",
            "identifier": "GRP5135",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Athens, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2015; 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.