Active NPI
Donald L Geisman Jr., P.A.
- Physician Assistant
- Albany, GA
National Provider Identifier
1174733711
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 003012
- Practice address
- 425 W 3Rd Ave
Suite 600
Albany, GA 31701-1941 - Phone
- (229) 431-1022
- Fax
- (229) 431-2068
- NPI assigned
- May 23, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 003012 | GA | Primary |
Addresses
Primary practice location
425 W 3Rd Ave
Suite 600
Albany, GA 31701-1941
Mailing address
4923 Edith Dr
Albany, GA 31721-9179
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Phoebe Physician Group, Inc | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Clinic/Center
- Albany, GA
- NPI 1487899464
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179878400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1174733711",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4923 EDITH DR",
"city": "ALBANY",
"state": "GA",
"postal_code": "317219179"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "425 W 3RD AVE",
"address_2": "SUITE 600",
"city": "ALBANY",
"state": "GA",
"postal_code": "317011941",
"telephone_number": "229-431-1022",
"fax_number": "229-431-2068"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GEISMAN",
"first_name": "DONALD",
"middle_name": "L",
"name_suffix": "Jr.",
"credential": "P.A.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-23",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "GA",
"license": "003012",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Albany, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.