Active NPI
Golden Isles Medical LLC
- Specialist
- St Simons Island, GA
National Provider Identifier
1215254065
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Legal business name
- GOLDEN ISLES MEDICAL LLC
- Practice address
- 1015 Arthur J Moore Dr
Saint Simons Island, GA 31522-2206 - Phone
- (912) 267-7780
- NPI assigned
- May 3, 2010
- Last updated
- Jan 8, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Anna Cabeca, DO
- Title
- Cmo
- Phone
- (912) 267-7780
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | Primary |
Addresses
Primary practice location
1015 Arthur J Moore Dr
Saint Simons Island, GA 31522-2206
Mailing address
PO Box 30062
Sea Island, GA 31561-0062
Phone (912) 267-7780
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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.
-
- Obstetrics & Gynecology Physician
- St Simons Island, GA
- NPI 1659493484
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1272844800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1357603200000",
"number": "1215254065",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 30062",
"city": "SEA ISLAND",
"state": "GA",
"postal_code": "315610062",
"telephone_number": "912-267-7780"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1015 ARTHUR J MOORE DR",
"city": "SAINT SIMONS ISLAND",
"state": "GA",
"postal_code": "315222206",
"telephone_number": "912-267-7780"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GOLDEN ISLES MEDICAL LLC",
"organizational_subpart": "NO",
"enumeration_date": "2010-05-03",
"last_updated": "2013-01-08",
"status": "A",
"authorized_official_last_name": "CABECA",
"authorized_official_first_name": "ANNA",
"authorized_official_title_or_position": "CMO",
"authorized_official_telephone_number": "912-267-7780",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in St Simons Island, GA
- Laura L. Glazier, D.P.T.
- Glynco Medical Solutions
- Glynn County Healthcare, LLC (Heritage Oaks)
- Golden Isles Center for Plastic Surgery Inc
- Golden Isles Endodontics, LLC (Coastal Endodontics)
- Golden Isles Vein Institute PC
- Michelle Ann Good, OTR/L
- Neil E. Goodman, M.D.
- Meghan Goutremout, PT
- Shirley R Grant
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.