NPIMap

Organization Active NPI

Northeast Georgia Urological Assoc., P.C.

  • Specialist
  • Gainesville, GA
National Provider Identifier
1205916483
Registry record updated Jun 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
021167 Issued in GA
Legal business name
NORTHEAST GEORGIA UROLOGICAL ASSOC., P.C.
Practice address
660 Lanier Park Dr
Suite a
Gainesville, GA 30501-2075
Phone
(770) 535-0000
Fax
(770) 532-3911
NPI assigned
Oct 16, 2006
Last updated
Jun 5, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2008

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

Authorized official

Name
Dr. William Bird Jones, M.D.NPI 1063419281
Title
President
Phone
(770) 535-0000

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
Specialist 174400000X 021167 GA Primary

Addresses

Primary practice location

660 Lanier Park Dr
Suite a
Gainesville, GA 30501-2075

Mailing address

660 Lanier Park Dr
Suite a
Gainesville, GA 30501-2075
Phone (770) 535-0000

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101110000557 GA Part B Supplier - Clinic/Group Practice 2567447899 Receives reassigned benefits from 2 practitioners
Practice locations: Gainesville, GA

National Provider Directory

National Provider Directory

Locations

660 Lanier Park Dr
Ste A
Gainesville, GA 30501
Phone (770) 535-0000

Interoperability endpoints

  • FHIR API: https://app.meldrx.com/api/fhir/uc32209_northeastgeorgiaurologicassoc

Practitioners & affiliated clinicians

Practitioners 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212624000000",
    "number": "1205916483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "660 LANIER PARK DR",
            "address_2": "SUITE A",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305012075",
            "telephone_number": "770-535-0000",
            "fax_number": "770-532-3911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "660 LANIER PARK DR",
            "address_2": "SUITE A",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305012075",
            "telephone_number": "770-535-0000",
            "fax_number": "770-532-3911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHEAST GEORGIA UROLOGICAL ASSOC., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-16",
        "last_updated": "2008-06-05",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "BIRD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "770-535-0000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "GA",
            "license": "021167",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2008; 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.