Middle Georgia Primary Care, PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

044107 Issued in GA

Legal business name

MIDDLE GEORGIA PRIMARY CARE, PC

Practice address

1115 Morningside Dr
Perry, GA 31069-2905

Phone

(478) 988-3060

Fax

(478) 988-3098

NPI assigned

Jul 13, 2006

Organization subpart

No

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

Authorized official

Name

Appavuchetty Soundappan, MD

Title

Physician

Phone

(478) 988-3060

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1247702400000",
    "number": "1205851003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1115 MORNINGSIDE DR",
            "city": "PERRY",
            "state": "GA",
            "postal_code": "310692905",
            "telephone_number": "478-988-3060",
            "fax_number": "478-988-3098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1115 MORNINGSIDE DR",
            "city": "PERRY",
            "state": "GA",
            "postal_code": "310692905",
            "telephone_number": "478-988-3060",
            "fax_number": "478-988-3098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDDLE GEORGIA PRIMARY CARE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-13",
        "last_updated": "2009-07-16",
        "status": "A",
        "authorized_official_last_name": "SOUNDAPPAN",
        "authorized_official_first_name": "APPAVUCHETTY",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "478-988-3060",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "044107",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly Messersmith
• Michael L. Kinsley, D.M.D.
• Middle Georgia Anesthesiology, LLC
• Middle Georgia Podiatry P.C.
• Middle Georgia Primary Care
• Savanna Millican
• Shatasha Mitchell, LPC
• Skylar Mizell, DMD
• Ross Montgomery, O.D.
• Jasia L Moody

• Internal Medicine Physician in Perry, GA
• Providers in Perry, GA by specialty
• Internal Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2009; 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.