Organization Active NPI

Epps Medical Associates of Richmond Hill

  • Family Medicine Physician
  • Richmond Hill, GA
National Provider Identifier
1275041881
Registry record updated Jan 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
EPPS MEDICAL ASSOCIATES OF RICHMOND HILL
Practice address
10200 Ford Ave Ste 101
Richmond Hill, GA 31324-8824
Phone
(912) 445-6110
Fax
(912) 445-6127
NPI assigned
Jan 17, 2018
Last updated
Jan 17, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2018

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

Authorized official

Name
Mr. Willie Epps, DO
Title
Ceo
Phone
(912) 445-6110

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X Primary

Addresses

Primary practice location

10200 Ford Ave Ste 101
Richmond Hill, GA 31324-8824

Mailing address

10200 Ford Ave Ste 101
Richmond Hill, GA 31324-8824
Phone (912) 445-6110

Other identifiers 1

IdentifierTypeStateIssuer
504598094EMedicaidGA

National Provider Directory

National Provider Directory

Locations

10200 Ford Ave
Ste 101
Richmond Hill, GA 31324
Phone (912) 445-6110

NPI Registry JSON

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

{
    "created_epoch": "1516147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1516147200000",
    "number": "1275041881",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10200 FORD AVE STE 101",
            "city": "RICHMOND HILL",
            "state": "GA",
            "postal_code": "313248824",
            "telephone_number": "912-445-6110",
            "fax_number": "912-445-6127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10200 FORD AVE STE 101",
            "city": "RICHMOND HILL",
            "state": "GA",
            "postal_code": "313248824",
            "telephone_number": "912-445-6110",
            "fax_number": "912-445-6127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EPPS MEDICAL ASSOCIATES OF RICHMOND HILL",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-17",
        "last_updated": "2018-01-17",
        "status": "A",
        "authorized_official_last_name": "EPPS",
        "authorized_official_first_name": "WILLIE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "912-445-6110",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "504598094E",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond Hill, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2018; 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.