Organization Active NPI

Albany Medical Clinic

  • Internal Medicine Physician
  • Albany, GA
National Provider Identifier
1083935910
Registry record updated Jun 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
043443 Issued in GA
Legal business name
ALBANY MEDICAL CLINIC
Practice address
525 W 2ND Ave
Albany, GA 31701-2204
Phone
(229) 446-3773
Fax
(229) 446-3776
NPI assigned
Jun 15, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2010

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

Authorized official

Name
Mrs. Shawnese Leonard
Title
Office Manager
Phone
(229) 446-3773

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 043443 GA Primary

Addresses

Primary practice location

525 W 2ND Ave
Albany, GA 31701-2204

Mailing address

525 W 2ND Ave
Albany, GA 31701-2204
Phone (229) 446-3773

National Provider Directory

National Provider Directory

Locations

525 W 2nd Ave
Albany, GA 31701
Phone (229) 446-3773

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1276560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1276560000000",
    "number": "1083935910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 W 2ND AVE",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317012204",
            "telephone_number": "229-446-3773",
            "fax_number": "229-446-3776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 W 2ND AVE",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317012204",
            "telephone_number": "229-446-3773",
            "fax_number": "229-446-3776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALBANY MEDICAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-15",
        "last_updated": "2010-06-15",
        "status": "A",
        "authorized_official_last_name": "LEONARD",
        "authorized_official_first_name": "SHAWNESE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "229-446-3773",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "043443",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2010; 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.