Active NPI
Richard Winston Seago, M.D.
- Surgery Physician
- Bremen, GA
National Provider Identifier
1265631865
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 11469
- Practice address
- 613 Pecan St S
Bremen, GA 30110-1917 - Phone
- (770) 537-4606
- Fax
- (770) 537-4000
- NPI assigned
- Jul 13, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 11469 | GA | Primary |
Addresses
Primary practice location
613 Pecan St S
Bremen, GA 30110-1917
Mailing address
613 Pecan St S
Bremen, GA 30110-1917
Phone (770) 537-4606
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11469 | GA | MD | Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184284800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184284800000",
"number": "1265631865",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "613 PECAN ST S",
"city": "BREMEN",
"state": "GA",
"postal_code": "301101917",
"telephone_number": "770-537-4606",
"fax_number": "770-537-4000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "613 PECAN ST S",
"city": "BREMEN",
"state": "GA",
"postal_code": "301101917",
"telephone_number": "770-537-4606",
"fax_number": "770-537-4000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SEAGO",
"first_name": "RICHARD",
"middle_name": "WINSTON",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-07-13",
"last_updated": "2007-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "GA",
"license": "11469",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bremen, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.