Organization Active NPI

Lawrence a. Adjei, Apmc

Doing business as Alda Medical Center

  • Internal Medicine Physician
  • Rincon, GA
National Provider Identifier
1104975499
Registry record updated May 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
054201 Issued in GA
Legal business name
LAWRENCE A. ADJEI, APMC
Doing business as
Alda Medical Center
Practice address
131 Goshen Road Ext
Suite 300
Rincon, GA 31326-5589
Phone
(912) 826-0860
Fax
(855) 796-7071
NPI assigned
Jan 9, 2007
Last updated
May 1, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2015

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

Authorized official

Name
Dr. Lawrence Adjetey Adjei, M.D.NPI 1689637134
Title
President and Ceo
Phone
(912) 826-0860

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 054201 GA Primary

Addresses

Primary practice location

131 Goshen Road Ext
Suite 300
Rincon, GA 31326-5589

Mailing address

131 Goshen Road Ext
Suite 300, P.O. Box 456
Rincon, GA 31326-5589
Phone (912) 826-0860

Other names 1

  • ALDA MEDICAL CENTER Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
11D1025152Lawrence a Adjei MD Apmc131 Goshen Road Extension, Suite 300, Rincon, GA 31326Certificate of waiverJul 17, 2028

National Provider Directory

National Provider Directory

Locations

800 Towne Park Dr
Ste 200
Rincon, GA 31326
Phone (912) 556-0101

Practitioners & affiliated clinicians

Practitioners 2

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": "1168300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430438400000",
    "number": "1104975499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 GOSHEN ROAD EXT",
            "address_2": "SUITE 300, P.O. BOX 456",
            "city": "RINCON",
            "state": "GA",
            "postal_code": "313265589",
            "telephone_number": "912-826-0860",
            "fax_number": "855-796-7071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 GOSHEN ROAD EXT",
            "address_2": "SUITE 300",
            "city": "RINCON",
            "state": "GA",
            "postal_code": "313265589",
            "telephone_number": "912-826-0860",
            "fax_number": "855-796-7071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAWRENCE A. ADJEI, APMC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-09",
        "last_updated": "2015-05-01",
        "status": "A",
        "authorized_official_last_name": "ADJEI",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_middle_name": "ADJETEY",
        "authorized_official_title_or_position": "PRESIDENT AND CEO",
        "authorized_official_telephone_number": "912-826-0860",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "054201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ALDA MEDICAL CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rincon, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.