Organization Active NPI

Douglas Cancer Center

  • Preferred Provider Organization
  • Douglas, GA
National Provider Identifier
1285954214
Registry record updated Jun 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preferred Provider OrganizationTaxonomy code 305R00000X
License
039236 Issued in GA
Legal business name
DOUGLAS CANCER CENTER
Practice address
1100 Ocilla Rd
Douglas, GA 31533-2206
Phone
(912) 384-4540
Fax
(912) 260-1533
NPI assigned
Jun 1, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2010

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

Authorized official

Name
Mr. Barjinder Singh, M.D.
Title
President
Phone
(912) 384-4540

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Preferred Provider Organization 305R00000X 039236 GA Primary

Addresses

Primary practice location

1100 Ocilla Rd
Douglas, GA 31533-2206

Mailing address

1100 Ocilla Rd
Douglas, GA 31533-2206
Phone (912) 384-4540

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1275350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1275350400000",
    "number": "1285954214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 OCILLA RD",
            "city": "DOUGLAS",
            "state": "GA",
            "postal_code": "315332206",
            "telephone_number": "912-384-4540",
            "fax_number": "912-260-1533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 OCILLA RD",
            "city": "DOUGLAS",
            "state": "GA",
            "postal_code": "315332206",
            "telephone_number": "912-384-4540",
            "fax_number": "912-260-1533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOUGLAS CANCER CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-01",
        "last_updated": "2010-06-01",
        "status": "A",
        "authorized_official_last_name": "SINGH",
        "authorized_official_first_name": "BARJINDER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "912-384-4540",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "GA",
            "license": "039236",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Douglas, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2010; 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.