Georgia Specialist Center of Albany, LLC

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

GEORGIA SPECIALIST CENTER OF ALBANY, LLC

Doing business as

Georgia Center MedSpa

Practice address

2407 Westgate Dr
Albany, GA 31707-2225

Phone

(229) 496-9529

Fax

(229) 405-1962

NPI assigned

Sep 7, 2017

Organization subpart

No

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

Authorized official

Name

Kearsley Langford Johnson

Title

Accountant

Phone

(229) 496-9529

Specialties & licenses 1

Addresses

Other names 1

• Georgia Center MedSpa Doing business as

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

{
    "created_epoch": "1504742400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1285152587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2407 WESTGATE DR",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317072225",
            "telephone_number": "229-496-9529",
            "fax_number": "229-405-1962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2407 WESTGATE DR",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317072225",
            "telephone_number": "229-496-9529",
            "fax_number": "229-405-1962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGIA SPECIALIST CENTER OF ALBANY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-07",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "KEARSLEY",
        "authorized_official_middle_name": "LANGFORD",
        "authorized_official_title_or_position": "ACCOUNTANT",
        "authorized_official_telephone_number": "229-496-9529"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Georgia Center MedSpa",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Specialist in Albany, GA
• Providers in Albany, GA by specialty
• Specialist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.