Monte D Slater, MD

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

045968 Issued in GA

Practice address

222 Perry Hwy
Hawkinsville, GA 31036-6748

Phone

(478) 783-9340

Fax

(478) 783-3961

NPI assigned

Jun 17, 2005

Reactivated

Jul 1, 2005

Last updated

Apr 22, 2015By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1118966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1429660800000",
    "number": "1225033913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1297",
            "city": "HAWKINSVILLE",
            "state": "GA",
            "postal_code": "310367297",
            "telephone_number": "478-783-9340",
            "fax_number": "478-783-3961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 PERRY HWY",
            "city": "HAWKINSVILLE",
            "state": "GA",
            "postal_code": "310366748",
            "telephone_number": "478-783-9340",
            "fax_number": "478-783-3961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLATER",
        "first_name": "MONTE",
        "middle_name": "D",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-17",
        "last_updated": "2015-04-22",
        "deactivation_date": "2005-06-27",
        "reactivation_date": "2005-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "GA",
            "license": "045968",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000797684A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Obstetrics & Gynecology Physician in Hawkinsville, GA
• Providers in Hawkinsville, GA by specialty
• Obstetrics & Gynecology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2015; 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.