NPIMap

Organization Active NPI

Pioneer Health Services of Early County, LLC

Doing business as Pioneer Family Medical of Arlington

  • Clinic/Center
  • Arlington, GA
National Provider Identifier
1154669554
Registry record updated Jan 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
049-667 Issued in GA
Legal business name
PIONEER HEALTH SERVICES OF EARLY COUNTY, LLC
Doing business as
Pioneer Family Medical of Arlington
Practice address
104 Maxwell St SE
Arlington, GA 39813-8714
Phone
(601) 849-6440
Fax
(601) 849-1318
NPI assigned
Jan 21, 2013
Last updated
Jan 21, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2013

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

Authorized official

Name
Mr. Joseph Sylvester McNulty III
Title
Ceo
Phone
(601) 849-6440

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 049-667 GA Primary

Addresses

Primary practice location

104 Maxwell St SE
Arlington, GA 39813-8714

Mailing address

104 Maxwell St SE
Arlington, GA 39813-8714
Phone (601) 849-6440

Other names 1

  • Pioneer Family Medical of Arlington Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1358726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358726400000",
    "number": "1154669554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 MAXWELL ST SE",
            "city": "ARLINGTON",
            "state": "GA",
            "postal_code": "398138714",
            "telephone_number": "601-849-6440",
            "fax_number": "601-849-1318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 MAXWELL ST SE",
            "city": "ARLINGTON",
            "state": "GA",
            "postal_code": "398138714",
            "telephone_number": "601-849-6440",
            "fax_number": "601-849-1318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIONEER HEALTH SERVICES OF EARLY COUNTY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-21",
        "last_updated": "2013-01-21",
        "status": "A",
        "authorized_official_last_name": "MCNULTY",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "SYLVESTER",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "601-849-6440",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "GA",
            "license": "049-667",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pioneer Family Medical of Arlington",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Arlington, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2013; 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.