NPIMap

Organization Active NPI

Archbold Medical Group

Doing business as Archbold Neurosurgery Services

  • Neurological Surgery Physician
  • Thomasville, GA
National Provider Identifier
1104910520
Registry record updated Jul 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
20448 Issued in GA
Legal business name
ARCHBOLD MEDICAL GROUP
Doing business as
Archbold Neurosurgery Services
Practice address
704 South Broad Street
Thomasville, GA 31792-6107
Phone
(229) 226-8880
Fax
(229) 227-5370
NPI assigned
Oct 2, 2006
Last updated
Jul 9, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2014

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

Authorized official

Name
Charles Hightower
Title
Cfo
Phone
(229) 228-2853

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X 20448 GA Primary
Neurological Surgery Physician 207T00000X 32907 GA
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X 041159 GA
Neurology Physician 2084N0400X 36812 GA
Neurology Physician 2084N0400X 53520 GA

Addresses

Primary practice location

704 South Broad Street
Thomasville, GA 31792-6107

Mailing address

704 S Broad St
Thomasville, GA 31792-6107
Phone (229) 226-8880

Other names 1

  • Archbold Neurosurgery Services Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Archbold Medical Group Inc14 organizations share this tax ID, including this one

Other organizations with this tax ID 13

Organizations that report the same tax identification number in the National Provider Directory.

View all 13

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404864000000",
    "number": "1104910520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "704 S BROAD ST",
            "city": "THOMASVILLE",
            "state": "GA",
            "postal_code": "317926107",
            "telephone_number": "229-226-8880",
            "fax_number": "229-227-5370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "704 SOUTH BROAD STREET",
            "city": "THOMASVILLE",
            "state": "GA",
            "postal_code": "317926107",
            "telephone_number": "229-226-8880",
            "fax_number": "229-227-5370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARCHBOLD MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2014-07-09",
        "status": "A",
        "authorized_official_last_name": "HIGHTOWER",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "229-228-2853"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "GA",
            "license": "20448",
            "primary": true
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "GA",
            "license": "32907",
            "primary": false
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "GA",
            "license": "041159",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "GA",
            "license": "36812",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "GA",
            "license": "53520",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Archbold Neurosurgery Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Thomasville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2014; 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.