NPIMap

Individual provider Active NPI

Joseph Stephen R Lomboy, MD

  • Internal Medicine Physician
  • Perry, GA
National Provider Identifier
1215974100
Registry record updated Mar 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
047921 Issued in GA
Practice address
1018 Keith Dr
Suite a
Perry, GA 31069-2947
Phone
(478) 987-7444
Fax
(478) 987-7747
NPI assigned
Jun 1, 2006
Last updated
Mar 18, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 047921 GA Primary

Addresses

Primary practice location

1018 Keith Dr
Suite a
Perry, GA 31069-2947

Mailing address

1018 Keith Dr
Suite a
Perry, GA 31069-2947
Phone (478) 987-7444

Other identifiers 2

IdentifierTypeStateIssuer
000892768BMedicaidGA
000892768FMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061026000275 GA Practitioner - Internal Medicine 1759388200 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
South Houston Internal MedicineGroup PAC ID 1850398306, 3 clinicians

Practice addresses (Care Compare)

1018 Keith Dr a
Perry, GA 31069-2947
Phone (478) 987-7444

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy15
Upper gastrointestinal (GI) endoscopy for acid reflux1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
South Houston Internal Medicine Internal Medicine CurrentSince Sep 18, 2006 Accepting new patients
24 On Physicians, P.C. CurrentSince Aug 15, 2018 Accepting new patients
24 On Physicians, PC CurrentSince Aug 15, 2018 Accepting new patients
Cardiopulmonary Associates, P.C. Past Accepting new patients

Locations

13000 Deerfield Pkwy
Ste 100
Alpharetta, GA 30004

1018 Keith Dr
Perry, GA 31069

1018 Keith Dr
#A
Perry, GA 31069
Phone (478) 751-2580

1018 Keith Dr
Ste A
Perry, GA 31069
Phone (478) 987-7444

304 Turner McCall Blvd SW
Rome, GA 30165
Phone (706) 506-5000

1601 Watson Blvd
Warner Robins, GA 31093
Phone (478) 322-5155

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BEDGCA/Endpoint/BEDGCA
  • Direct secure messaging: joseph.lomboy@southhoustonim.eclinicaldirectplus.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1149120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268870400000",
    "number": "1215974100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1018 KEITH DR",
            "address_2": "SUITE A",
            "city": "PERRY",
            "state": "GA",
            "postal_code": "310692947",
            "telephone_number": "478-987-7444",
            "fax_number": "478-987-7747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1018 KEITH DR",
            "address_2": "SUITE A",
            "city": "PERRY",
            "state": "GA",
            "postal_code": "310692947",
            "telephone_number": "478-987-7444",
            "fax_number": "478-987-7747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOMBOY",
        "first_name": "JOSEPH STEPHEN",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-01",
        "last_updated": "2010-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "047921",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000892768B",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000892768F",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Perry, GA

Sources for this page

Verify at the official NPI Registry.