Active NPI
Golden Isles Center for General and Bariatric Surgery
- Surgery Physician
- Brunswick, GA
National Provider Identifier
1124223227
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- Legal business name
- GOLDEN ISLES CENTER FOR GENERAL AND BARIATRIC SURGERY
- Practice address
- 3226 Hampton Ave
Suite F
Brunswick, GA 31520-4225 - Phone
- (912) 264-9724
- NPI assigned
- Jun 19, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Peter L Henderson, MD
- Title
- President
- Phone
- (912) 264-9724
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | Primary |
Addresses
Primary practice location
3226 Hampton Ave
Suite F
Brunswick, GA 31520-4225
Mailing address
3226 Hampton Ave
Suite F
Brunswick, GA 31520-4225
Phone (912) 264-9724
National Provider Directory
National Provider DirectoryLocations
3226 Hampton Ave
Ste F
Brunswick, GA 31520
Phone (912) 264-4840
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182211200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1124223227",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3226 HAMPTON AVE",
"address_2": "SUITE F",
"city": "BRUNSWICK",
"state": "GA",
"postal_code": "315204225",
"telephone_number": "912-264-9724"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3226 HAMPTON AVE",
"address_2": "SUITE F",
"city": "BRUNSWICK",
"state": "GA",
"postal_code": "315204225",
"telephone_number": "912-264-9724"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GOLDEN ISLES CENTER FOR GENERAL AND BARIATRIC SURGERY",
"organizational_subpart": "NO",
"enumeration_date": "2007-06-19",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "HENDERSON",
"authorized_official_first_name": "PETER",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "912-264-9724",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brunswick, GA
- Patrick E Godbey, M.D.
- Rebecca Elizabeth Godwin, LMT
- Ryan Lee Goetz, MD
- Golden Hearts Home Health LLC
- Golden Isles Center for Exceptional Dentistry, P.C.
- Golden Isles Colon & Rectal Clinic PC
- Golden Isles Dental Associates, LLC
- Golden Isles Dentistry
- Golden Isles Family Healthcare, LLC
- Golden Isles Foot Surgery Center
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.