Organization Active NPI

Medplus Immediate Care

  • General Practice Physician
  • Macon, GA
National Provider Identifier
1164198461
Registry record updated Aug 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
MEDPLUS IMMEDIATE CARE
Practice address
5591 Thomaston Road
Suite A600
Macon, GA 31220
Phone
(478) 272-8140
Fax
(478) 277-0276
NPI assigned
Aug 18, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2021

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

Authorized official

Name
John W Souza, MD
Title
Owner
Phone
(478) 272-8140

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

5591 Thomaston Road
Suite A600
Macon, GA 31220

Mailing address

1101 Hillcrest Pkwy Ste L
Dublin, GA 31021-3581
Phone (478) 272-8140

National Provider Directory

National Provider Directory
Tax ID family
Medplus Immediate Care2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1101 Hillcrest Pkwy
Ste L
Dublin, GA 31021
Phone (478) 205-5227

5591 Thomaston Rd
Ste A600
Macon, GA 31220
Phone (478) 272-8140

NPI Registry JSON

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

{
    "created_epoch": "1629244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629244800000",
    "number": "1164198461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 HILLCREST PKWY STE L",
            "city": "DUBLIN",
            "state": "GA",
            "postal_code": "310213581",
            "telephone_number": "478-272-8140",
            "fax_number": "478-277-0276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5591 THOMASTON ROAD",
            "address_2": "SUITE A600",
            "city": "MACON",
            "state": "GA",
            "postal_code": "31220",
            "telephone_number": "478-272-8140",
            "fax_number": "478-277-0276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDPLUS IMMEDIATE CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-18",
        "last_updated": "2021-08-18",
        "certification_date": "2021-07-26",
        "status": "A",
        "authorized_official_last_name": "SOUZA",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "478-272-8140",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Macon, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2021; 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.