Oconee Primary Care Center, LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

OCONEE PRIMARY CARE CENTER, LLC

Practice address

411 N Cobb St
Milledgeville, GA 31061-2634

Phone

(478) 454-3470

NPI assigned

Sep 6, 2013

Last updated

Oct 15, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Janelyn F Gaston

Title

Practice Administrator

Phone

(706) 468-4519

Specialties & licenses 2

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1378425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413331200000",
    "number": "1154756369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 N COBB ST",
            "city": "MILLEDGEVILLE",
            "state": "GA",
            "postal_code": "310612634",
            "telephone_number": "478-454-3470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 N COBB ST",
            "city": "MILLEDGEVILLE",
            "state": "GA",
            "postal_code": "310612634",
            "telephone_number": "478-454-3470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCONEE PRIMARY CARE CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-06",
        "last_updated": "2014-10-15",
        "status": "A",
        "authorized_official_last_name": "GASTON",
        "authorized_official_first_name": "JANELYN",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "706-468-4519"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003140021A",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "202G701823",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Oconee Family Medicine Center, PC
• Oconee Internal Medicine, LLC
• Oconee Neurology, LLC
• Oconee Orthopedics LLC
• Oconee Pathology Associates, P.C.
• Oconee Radiology Associates
• Oconee Regional Health Ventures, Inc
• Oconee Sleep and Wellness Center, LLC
• Oconee Surgical & Pediatric Associates
• Oconee Urology, P.C.

• Family Medicine Physician in Milledgeville, GA
• Providers in Milledgeville, GA by specialty
• Family Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2014; 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.