NPIMap

Organization Active NPI

Jrmdinc

  • Critical Care Medicine (Internal Medicine) Physician
  • Evans, GA
National Provider Identifier
1093060303
Registry record updated Jul 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X
License
042430 Issued in GA
Legal business name
JRMDINC
Practice address
4300 Southern Pines Dr
Evans, GA 30809-4287
Phone
(706) 504-4651
Fax
(706) 504-4639
NPI assigned
Jul 23, 2012
Last updated
Jul 23, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2012

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

Authorized official

Name
Dr. Joseph R Shaver, M.D.
Title
President
Phone
(706) 339-5092

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 042430 GA Primary

Addresses

Primary practice location

4300 Southern Pines Dr
Evans, GA 30809-4287

Mailing address

PO Box 6750
Augusta, GA 30916-6750
Phone (706) 504-4651

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1343001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343001600000",
    "number": "1093060303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6750",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309166750",
            "telephone_number": "706-504-4651",
            "fax_number": "706-504-4639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4300 SOUTHERN PINES DR",
            "city": "EVANS",
            "state": "GA",
            "postal_code": "308094287",
            "telephone_number": "706-504-4651",
            "fax_number": "706-504-4639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JRMDINC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-23",
        "last_updated": "2012-07-23",
        "status": "A",
        "authorized_official_last_name": "SHAVER",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "706-339-5092",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "GA",
            "license": "042430",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Evans, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2012; 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.