Active NPI
Sandra Joan Orr
- Medical Physician Assistant
- Milledgeville, GA
National Provider Identifier
1174871792
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 1871
- Practice address
- 2249 Vinson Hwy SE
Milledgeville, GA 31061-4807 - Phone
- (478) 445-1858
- Fax
- (478) 445-5190
- NPI assigned
- Aug 29, 2012
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 1871 | GA | Primary |
Addresses
Primary practice location
2249 Vinson Hwy SE
Milledgeville, GA 31061-4807
Mailing address
2249 Vinson Hwy SE
Milledgeville, GA 31061-4807
Phone (478) 445-1858
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1871 | GA | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1346198400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1346198400000",
"number": "1174871792",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2249 VINSON HWY SE",
"city": "MILLEDGEVILLE",
"state": "GA",
"postal_code": "310614807",
"telephone_number": "478-445-1858",
"fax_number": "478-445-5190"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2249 VINSON HWY SE",
"city": "MILLEDGEVILLE",
"state": "GA",
"postal_code": "310614807",
"telephone_number": "478-445-1858",
"fax_number": "478-445-5190"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ORR",
"first_name": "SANDRA",
"middle_name": "JOAN",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-08-29",
"last_updated": "2012-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "GA",
"license": "1871",
"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 Aug 29, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.