NPIMap

Organization Active NPI

Stephens County Hospital Physician Group, LLC

  • Multi-Specialty Clinic/Center
  • Clayton, GA
National Provider Identifier
1114643251
Registry record updated Oct 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
STEPHENS COUNTY HOSPITAL PHYSICIAN GROUP, LLC
Practice address
189 Bo James St Ste 105
Clayton, GA 30525-6199
Phone
(706) 282-4200
NPI assigned
Oct 19, 2022
Organization subpart
Yes
Parent organization
STEPHENS COUNTY HOSPITAL PHYSICIAN GROUP, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 19, 2022

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

Authorized official

Name
Thomas Loskoski
Title
Ceo
Phone
(706) 282-5841

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

189 Bo James St Ste 105
Clayton, GA 30525-6199

Mailing address

189 Bo James St Ste 105
Clayton, GA 30525-6199

National Provider Directory

National Provider Directory
Tax ID family
Stephens County Hospital Physician Group LLC5 organizations share this tax ID, including this one
Part of
Stephens County Hospital Physician Group LLC

Other organizations with this tax ID 4

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

NPI Registry JSON

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

{
    "created_epoch": "1666137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666137600000",
    "number": "1114643251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "189 BO JAMES ST STE 105",
            "city": "CLAYTON",
            "state": "GA",
            "postal_code": "305256199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "189 BO JAMES ST STE 105",
            "city": "CLAYTON",
            "state": "GA",
            "postal_code": "305256199",
            "telephone_number": "706-282-4200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHENS COUNTY HOSPITAL PHYSICIAN GROUP, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "STEPHENS COUNTY HOSPITAL PHYSICIAN GROUP, LLC",
        "enumeration_date": "2022-10-19",
        "last_updated": "2022-10-19",
        "certification_date": "2022-10-19",
        "status": "A",
        "authorized_official_last_name": "LOSKOSKI",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "706-282-5841"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clayton, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2022; 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.