Active NPI
Regional Firstcare Inc
- Emergency Medicine Physician
- Watkinsville, GA
National Provider Identifier
1265597835
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 027103
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GRP3190 | Other | GA | MEDICARE GROUP NUMBER |
National Provider Directory
National Provider DirectoryLocations
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.