NPIMap

Organization Active NPI

Physicians Staffing Solutions

  • Pulmonary Disease Physician
  • Dublin, GA
National Provider Identifier
1205174182
Registry record updated Jun 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
061546 Issued in GA
Legal business name
PHYSICIANS STAFFING SOLUTIONS
Practice address
100 Medical Dr
Dublin, GA 31021-2559
Phone
(478) 272-3209
Fax
(478) 272-2283
NPI assigned
Jan 28, 2013
Last updated
Jun 7, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2013

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

Authorized official

Name
Dr. Vishal Agrawal, M.D.NPI 1902995178
Title
President/Ceo
Phone
(843) 364-0455

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 061546 GA
Pulmonary Disease Physician 207RP1001X 061546 GA Primary

Addresses

Primary practice location

100 Medical Dr
Dublin, GA 31021-2559

Mailing address

100 Medical Dr
Dublin, GA 31021-2559
Phone (478) 272-3209

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130528000335 GA Part B Supplier - Clinic/Group Practice 8123266400 Receives reassigned benefits from 17 practitioners
Practice locations: Dublin, GA

National Provider Directory

National Provider Directory

Locations

100 Medical Dr
Ste 300
Dublin, GA 31021
Phone (478) 272-3209

105 Fairview Park Dr
Dublin, GA 31021
Phone (478) 274-1040

Practitioners & affiliated clinicians

Practitioners 20

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.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1359331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370563200000",
    "number": "1205174182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 MEDICAL DR",
            "city": "DUBLIN",
            "state": "GA",
            "postal_code": "310212559",
            "telephone_number": "478-272-3209",
            "fax_number": "478-272-2283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 MEDICAL DR",
            "city": "DUBLIN",
            "state": "GA",
            "postal_code": "310212559",
            "telephone_number": "478-272-3209",
            "fax_number": "478-272-2283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICIANS STAFFING SOLUTIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-28",
        "last_updated": "2013-06-07",
        "status": "A",
        "authorized_official_last_name": "AGRAWAL",
        "authorized_official_first_name": "VISHAL",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "843-364-0455",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "GA",
            "license": "061546",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "GA",
            "license": "061546",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dublin, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.