Organization Active NPI

Royston Medical Associates PC

  • Family Medicine Physician
  • Royston, GA
National Provider Identifier
1245377662
Registry record updated Oct 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
ROYSTON MEDICAL ASSOCIATES PC
Practice address
819 Church St
Royston, GA 30662-4434
Phone
(706) 245-6177
Fax
(706) 245-6242
NPI assigned
Feb 1, 2007
Last updated
Oct 20, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2011

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

Authorized official

Name
David M Harris, MEDICAL DOCTORNPI 1619035169
Title
President Royston Medical Associate
Phone
(706) 245-6177

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
Family Medicine Physician 207Q00000X Primary

Addresses

Primary practice location

819 Church St
Royston, GA 30662-4434

Mailing address

819 Church St
Royston, GA 30662-4434
Phone (706) 245-6177

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040527000285 GA Part B Supplier - Clinic/Group Practice 6103807987 Receives reassigned benefits from 5 practitioners
Practice locations: Royston, GA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
11D0681592Royston Medical Associates PC819 Church Street, Royston, GA 30662Provider-performed microscopyAug 31, 2026

National Provider Directory

National Provider Directory

Locations

819 Church St
Royston, GA 30662
Phone (706) 245-6177

Practitioners & affiliated clinicians

Practitioners 9

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": "1170288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319068800000",
    "number": "1245377662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "819 CHURCH ST",
            "city": "ROYSTON",
            "state": "GA",
            "postal_code": "306624434",
            "telephone_number": "706-245-6177",
            "fax_number": "706-245-6242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "819 CHURCH ST",
            "city": "ROYSTON",
            "state": "GA",
            "postal_code": "306624434",
            "telephone_number": "706-245-6177",
            "fax_number": "706-245-6242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROYSTON MEDICAL ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-01",
        "last_updated": "2011-10-20",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT ROYSTON MEDICAL ASSOCIATE",
        "authorized_official_telephone_number": "706-245-6177",
        "authorized_official_credential": "MEDICAL DOCTOR"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Royston, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.