Active NPI
Medplus Immediate Care
- General Practice Physician
- Macon, GA
National Provider Identifier
1164198461
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 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 Care
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- General Practice Physician
- Macon, GA
- NPI 1215600564
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
- Medical-Pharmacy Associates of Georgia, LLC
- Medical-Pharmacy Associates of Georgia, LLC (u save it pharmacy macon 2 LTC)
- Medical-Pharmacy Associates of Georgia, LLC (U Save It Pharmacy - Macon 2)
- Mediquip Rehabilitative Equipment & Supplies Plus LLC
- Mednax
- Medplus Immediate Care
- Medport Transportation
- Medrad, LLC
- Robert Adam Medrzycki, PT
- Medway Emergency Medical Services Inc.
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.