Organization Active NPI

Golden Isles Center for General and Bariatric Surgery

  • Surgery Physician
  • Brunswick, GA
National Provider Identifier
1124223227
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
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

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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

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.

Verify at the official NPI Registry.