NPIMap

Organization Active NPI

Gowdy Enterprises

  • Internal Medicine Physician
  • Tifton, GA
National Provider Identifier
1184927972
Registry record updated Dec 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
34601 Issued in GA
Legal business name
GOWDY ENTERPRISES
Practice address
2406 Tift Ave N
Suite 202
Tifton, GA 31794-1886
Phone
(770) 355-2064
Fax
(229) 238-3940
NPI assigned
Dec 16, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2010

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

Authorized official

Name
Dr. David Phillip Gowdy, M.D.NPI 1124194188
Title
President
Phone
(770) 355-2064

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 34601 GA Primary

Addresses

Primary practice location

2406 Tift Ave N
Suite 202
Tifton, GA 31794-1886

Mailing address

PO Box 1404
Alpharetta, GA 30009-1404
Phone (770) 355-2064

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1292457600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292457600000",
    "number": "1184927972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1404",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300091404",
            "telephone_number": "770-355-2064",
            "fax_number": "678-615-2224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2406 TIFT AVE N",
            "address_2": "SUITE 202",
            "city": "TIFTON",
            "state": "GA",
            "postal_code": "317941886",
            "telephone_number": "770-355-2064",
            "fax_number": "229-238-3940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOWDY ENTERPRISES",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-16",
        "last_updated": "2010-12-16",
        "status": "A",
        "authorized_official_last_name": "GOWDY",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "PHILLIP",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "770-355-2064",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "34601",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tifton, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2010; 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.