Organization Active NPI

Oconee Orthopedics LLC

  • Orthopaedic Surgery Physician
  • Milledgeville, GA
National Provider Identifier
1164769154
Registry record updated Jan 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
OCONEE ORTHOPEDICS LLC
Practice address
1201 N Columbia Dr
Milledgeville, GA 31061-2395
Phone
(478) 451-0040
NPI assigned
Jan 10, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2013

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

Authorized official

Name
Ms. Brenda Qualls
Title
Chief Financial Officer
Phone
(478) 457-2075

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X Primary

Addresses

Primary practice location

1201 N Columbia Dr
Milledgeville, GA 31061-2395

Mailing address

821 N Cobb St
Milledgeville, GA 31061-2343
Phone (478) 457-2075

National Provider Directory

National Provider Directory

Locations

205 Medical Arts Dr
Sandersville, GA 31082
Phone (478) 552-2020

NPI Registry JSON

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

{
    "created_epoch": "1357776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357776000000",
    "number": "1164769154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "821 N COBB ST",
            "city": "MILLEDGEVILLE",
            "state": "GA",
            "postal_code": "310612343",
            "telephone_number": "478-457-2075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 N COLUMBIA DR",
            "city": "MILLEDGEVILLE",
            "state": "GA",
            "postal_code": "310612395",
            "telephone_number": "478-451-0040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCONEE ORTHOPEDICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-10",
        "last_updated": "2013-01-10",
        "status": "A",
        "authorized_official_last_name": "QUALLS",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "478-457-2075",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milledgeville, GA

Sources for this page

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