Organization Active NPI

Golden Isles Medical LLC

  • Specialist
  • St Simons Island, GA
National Provider Identifier
1215254065
Registry record updated Jan 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
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, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2013

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

Authorized official

Name
Dr. Anna Cabeca, DONPI 1659493484
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)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 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 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, 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": "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

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.

Verify at the official NPI Registry.