Organization Active NPI

Regional Firstcare Inc

  • Emergency Medicine Physician
  • Watkinsville, GA
National Provider Identifier
1265597835
Registry record updated Dec 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
027103 Issued in GA
Legal business name
REGIONAL FIRSTCARE INC
Practice address
1010 Village Dr
Watkinsville, GA 30677-6004
Phone
(706) 769-0000
Fax
(706) 769-0320
NPI assigned
Dec 26, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2013

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

Authorized official

Name
Shelley Ransford-Des Jardines
Title
Administrative Director
Phone
(706) 475-4921

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207P00000X 027103 GA Primary

Addresses

Primary practice location

1010 Village Dr
Watkinsville, GA 30677-6004

Mailing address

1500 Oglethorpe Ave
Ste 600a
Athens, GA 30606-2179
Phone (706) 475-4920

Other identifiers 1

IdentifierTypeStateIssuer
GRP3190OtherGAMEDICARE GROUP NUMBER

National Provider Directory

National Provider Directory

Locations

1500 Oglethorpe Ave
Ste 600A
Athens, GA 30606
Phone (706) 475-4917

1305 Jennings Mill Rd
Ste 120
Watkinsville, GA 30677
Phone (470) 271-3427

NPI Registry JSON

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

{
    "created_epoch": "1167091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1387497600000",
    "number": "1265597835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 OGLETHORPE AVE",
            "address_2": "STE 600A",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306062179",
            "telephone_number": "706-475-4920",
            "fax_number": "706-208-8259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 VILLAGE DR",
            "city": "WATKINSVILLE",
            "state": "GA",
            "postal_code": "306776004",
            "telephone_number": "706-769-0000",
            "fax_number": "706-769-0320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGIONAL FIRSTCARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-26",
        "last_updated": "2013-12-20",
        "status": "A",
        "authorized_official_last_name": "RANSFORD-DES JARDINES",
        "authorized_official_first_name": "SHELLEY",
        "authorized_official_title_or_position": "ADMINISTRATIVE DIRECTOR",
        "authorized_official_telephone_number": "706-475-4921"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medicine",
            "state": "GA",
            "license": "027103",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP NUMBER",
            "identifier": "GRP3190",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Watkinsville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 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.