Bobby D Prince, M.D.

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

035735 Issued in GA

Practice address

2311 Lake Park Dr
Albany, GA 31707-3183

Phone

(229) 435-0525

Fax

(229) 434-9827

NPI assigned

Sep 12, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Orthopedic Surgery

Education

Emory University School of Medicine, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Regional Health Group IncGroup PAC ID 6709878994, 12 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Phoebe Putney Memorial Hospital Hospital, Albany, GA, CCN 110007

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as group

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: bobby.prince@msa1.eclinicaldirectplus.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Regional Health Group Inc

  • Orthopaedic Surgery Physician
  • Albany, GA
  • NPI 1346210705
  Medicare reassignment Care Compare group NPD
• Interventional Pain Institute LLC

  • Interventional Pain Medicine Physician
  • Albany, GA
  • NPI 1568003481
  NPD
• Northwest Plaza ASC LLC

  • Ambulatory Surgical Clinic/Center
  • Albany, GA
  • NPI 1528196888
  NPD
• Regional Health Group Inc

  • Interventional Pain Medicine Physician
  • Albany, GA
  • NPI 1952576571

  Orthopaedic Surgery

  NPD
• Hospital Authority of the City of Bainbridge and Decatur County

  • Multi-Specialty Clinic/Center
  • Bainbridge, GA
  • NPI 1053388256
  NPD (past)
• Premier Orthopedics, PC

  • Orthopaedic Surgery Physician
  • Cordele, GA
  • NPI 1326357138
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Phoebe Putney Memorial Hospital Inc

  • General Acute Care Hospital
  • Albany, GA
  • NPI 1992789721
  Care Compare affiliation

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

{
    "created_epoch": "1126483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1367280000000",
    "number": "1114911641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 71367",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317081367",
            "telephone_number": "229-435-0525",
            "fax_number": "229-434-9827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2311 LAKE PARK DR",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317073183",
            "telephone_number": "229-435-0525",
            "fax_number": "229-434-9827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRINCE",
        "first_name": "BOBBY",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-12",
        "last_updated": "2013-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "GA",
            "license": "035735",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000642661M",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP NUMBER",
            "identifier": "GRP4292",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Henry Albert Pridgen III, M.D.
• Primus Day (Comp)
• Primus Day (Now)
• Primus Harding Street
• Primus Twinflower Road
• Privia Medical Group South Georgia, LLC
• Promiseland Home Care Agency LLC
• Prosperity and Purpose Counseling and Consulting, LLC
• Provision Dui Treatment
• Michael William Pruitt, D.O

• Orthopaedic Surgery Physician in Albany, GA
• Providers in Albany, GA by specialty
• Orthopaedic Surgery Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.