Active NPI
Fulghum Durgs
- Durable Medical Equipment & Medical Supplies
- Baxley, GA
National Provider Identifier
1174655815
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- FULGHUM DURGS
- Practice address
- 34 NW Park Ave
Baxley, GA 31513-0049 - Phone
- (912) 367-2488
- Fax
- (912) 367-7235
- NPI assigned
- Mar 9, 2007
- Last updated
- Sep 11, 2007
- 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
- Dr. Ray Ashley Dixon, PHARMD
- Title
- Owner
- Phone
- (912) 367-2488
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | NU | Primary |
Addresses
Primary practice location
34 NW Park Ave
Baxley, GA 31513-0049
Mailing address
34 NW Park Ave
Baxley, GA 31513-0049
Phone (912) 367-2488
National Provider Directory
National Provider DirectoryLocations
34 NW Park Ave
Baxley, GA 31513
Phone (912) 367-2488
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Pharmacist
- Baxley, GA
- NPI 1184657017
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173398400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1189468800000",
"number": "1174655815",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "34 NW PARK AVE",
"city": "BAXLEY",
"state": "GA",
"postal_code": "315130049",
"telephone_number": "912-367-2488",
"fax_number": "912-367-7235"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "34 NW PARK AVE",
"city": "BAXLEY",
"state": "GA",
"postal_code": "315130049",
"telephone_number": "912-367-2488",
"fax_number": "912-367-7235"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FULGHUM DURGS",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-09",
"last_updated": "2007-09-11",
"status": "A",
"authorized_official_last_name": "DIXON",
"authorized_official_first_name": "RAY",
"authorized_official_middle_name": "ASHLEY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "912-367-2488",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PHARMD"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Baxley, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.