Individual provider Active NPI

Douglas Ray Joyner, MD

  • Surgery Physician
  • Montezuma, GA
National Provider Identifier
1285726182
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
031039 Issued in GA
Practice address
509 Sumter St
Suite D
Montezuma, GA 31063-1733
Phone
(478) 472-3207
Fax
(478) 472-3302
NPI assigned
Sep 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 031039 GA Primary

Addresses

Primary practice location

509 Sumter St
Suite D
Montezuma, GA 31063-1733

Mailing address

509 Sumter St
Suite D
Montezuma, GA 31063-1733
Phone (478) 472-3207

Other identifiers 1

IdentifierTypeStateIssuer
031039OtherGAMEDICAL LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091026000012 GA Practitioner - General Surgery 9830289719 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Phoebe Physician Group, Inc CurrentSince Jul 1, 2009 Accepting new patients
Phoebe Dorminy Kids Health CurrentSince Jul 1, 2009 Accepting new patients
Flint River Medi Cal Group, LLC Surgery Past Accepting new patients
Macon County Medical Center, Inc. Past Accepting new patients
Bacchus Operations Group, Inc. PastSince Apr 30, 2003 Accepting new patients

Locations

500 W 3rd Ave
Ste 101
Albany, GA 31701
Phone (229) 312-5802

2002 Palmyra Rd
Ste 201
Albany, GA 31701
Phone (229) 312-5802

101 Mayo St
Ste A
Americus, GA 31709
Phone (229) 924-4647

151 Mayo St
Ste B
Americus, GA 31709
Phone (229) 928-2900

361 Randolph St
Cuthbert, GA 39840
Phone (229) 732-2181

509 Sumter St
Montezuma, GA 31063
Phone (478) 472-2321

509 Sumter St
Ste D
Montezuma, GA 31063
Phone (478) 472-3134

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1285726182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "509 SUMTER ST",
            "address_2": "SUITE D",
            "city": "MONTEZUMA",
            "state": "GA",
            "postal_code": "310631733",
            "telephone_number": "478-472-3207",
            "fax_number": "478-472-3302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 SUMTER ST",
            "address_2": "SUITE D",
            "city": "MONTEZUMA",
            "state": "GA",
            "postal_code": "310631733",
            "telephone_number": "478-472-3207",
            "fax_number": "478-472-3302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOYNER",
        "first_name": "DOUGLAS",
        "middle_name": "RAY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "GA",
            "license": "031039",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "031039",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Montezuma, GA

Sources for this page

Verify at the official NPI Registry.