NPIMap

Organization Active NPI

Irwin Specialty Centers LLC

  • Clinic/Center
  • Ocilla, GA
National Provider Identifier
1164129094
Registry record updated Feb 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
IRWIN SPECIALTY CENTERS LLC
Practice address
710 N Irwin Ave
Ocilla, GA 31774-5011
Phone
(229) 468-3800
NPI assigned
Feb 10, 2023
Last updated
Feb 10, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2023

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

Authorized official

Name
Tami L Sandiford
Title
Accountant
Phone
(229) 468-3862

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

710 N Irwin Ave
Ocilla, GA 31774-5011

Mailing address

710 N Irwin Ave
Ocilla, GA 31774-5011
Phone (229) 468-3800

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1675987200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675987200000",
    "number": "1164129094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 N IRWIN AVE",
            "city": "OCILLA",
            "state": "GA",
            "postal_code": "317745011",
            "telephone_number": "229-468-3800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 N IRWIN AVE",
            "city": "OCILLA",
            "state": "GA",
            "postal_code": "317745011",
            "telephone_number": "229-468-3800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IRWIN SPECIALTY CENTERS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-10",
        "last_updated": "2023-02-10",
        "certification_date": "2023-02-10",
        "status": "A",
        "authorized_official_last_name": "SANDIFORD",
        "authorized_official_first_name": "TAMI",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "ACCOUNTANT",
        "authorized_official_telephone_number": "229-468-3862"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocilla, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2023; 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.