Organization Active NPI

Fulghum Durgs

  • Durable Medical Equipment & Medical Supplies
  • Baxley, GA
National Provider Identifier
1174655815
Registry record updated Sep 11, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
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, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2007

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

Authorized official

Name
Dr. Ray Ashley Dixon, PHARMDNPI 1184657017
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)CodeLicenseStatePrimary
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 Directory

Locations

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.

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.

Verify at the official NPI Registry.