Active NPI
Joni Byrd Skipper, MD
- Forensic Pathology Physician
- Pooler, GA
National Provider Identifier
1124221213
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Forensic Pathology Physician
- License
- 78644
- Practice address
- 111 Isaac G Laroche Dr
Pooler, GA 31322-2171 - Phone
- (912) 921-5900
- NPI assigned
- Jun 7, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Forensic Pathology Physician | 207ZF0201X | 78644 | GA | Primary |
Addresses
Primary practice location
111 Isaac G Laroche Dr
Pooler, GA 31322-2171
Mailing address
111 Isaac G Laroche Dr
Pooler, GA 31322-2171
Phone (912) 921-5900
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 78644 | GA | MD | Forensic Pathology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181174400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1589500800000",
"number": "1124221213",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 ISAAC G LAROCHE DR",
"city": "POOLER",
"state": "GA",
"postal_code": "313222171",
"telephone_number": "912-921-5900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 ISAAC G LAROCHE DR",
"city": "POOLER",
"state": "GA",
"postal_code": "313222171",
"telephone_number": "912-921-5900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SKIPPER",
"first_name": "JONI",
"middle_name": "BYRD",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-07",
"last_updated": "2020-05-15",
"certification_date": "2020-05-15",
"status": "A"
},
"taxonomies": [
{
"code": "207ZF0201X",
"taxonomy_group": "",
"desc": "Pathology, Forensic Pathology",
"state": "GA",
"license": "78644",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pooler, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.