David E Vincent MD PC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

053627 Issued in GA

Legal business name

DAVID E VINCENT MD PC

Practice address

2465 Demere Rd
Suite 209
St Simons Island, GA 31522-1630

Phone

(912) 634-1050

NPI assigned

May 12, 2009

Last updated

May 12, 2009By 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

David E Vincent, MD

Title

Provider

Phone

(912) 399-1866

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1242086400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242086400000",
    "number": "1104050632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 20303",
            "city": "ST SIMONS ISLAND",
            "state": "GA",
            "postal_code": "315228303",
            "telephone_number": "912-634-1050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2465 DEMERE RD",
            "address_2": "SUITE 209",
            "city": "ST SIMONS ISLAND",
            "state": "GA",
            "postal_code": "315221630",
            "telephone_number": "912-634-1050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID E VINCENT MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-12",
        "last_updated": "2009-05-12",
        "status": "A",
        "authorized_official_last_name": "VINCENT",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "912-399-1866",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "GA",
            "license": "053627",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychiatry Physician in St Simons Island, GA
• Providers in St Simons Island, GA by specialty
• Psychiatry Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2009; 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.