Albany Bone & Joint Clinic PC

Key facts

NPI

1295709178

Entity type

Organization (NPI type 2)

Primary specialty

Orthopaedic Surgery Physician 207X00000X

Legal business name

ALBANY BONE & JOINT CLINIC PC

Practice address

619 Pointe North Blvd
Albany, GA 31721-1514

Phone

(229) 883-4707

Fax

(229) 435-1038

NPI assigned

Feb 15, 2006

Organization subpart

No

Authorized official

Name

Cheryl Boyles, CPC

Title

Administrator

Phone

(229) 883-4707

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Thomas M. Darden Jr., M.D. Orthopaedic Surgery Physician · Albany, GA · NPI 1992779946
  Medicare reassignment NPD GA · ORTHOPAEDIC SURGERY
• Jordan D Mellinger, PT Physical Therapist · Augusta, GA · NPI 1669737771
  Medicare reassignment NPD GA
• Paul A. Michas, M.D. Orthopaedic Surgery Physician · Albany, GA · NPI 1750355574
  Medicare reassignment NPD GA · ORTHOPAEDIC SURGERY
• Tara Anne Okon, P.T. Physical Therapist · Auburn, AL · NPI 1619130879
  Medicare reassignment NPD GA
• Mark Alan Wolgin, M.D. Orthopaedic Surgery Physician · Syracuse, NY · NPI 1780668780
  Medicare reassignment NPD GA · ORTHOPAEDIC SURGERY
• James C McNeely Jr., PA Surgical Physician Assistant · Birmingham, AL · NPI 1477931301
  Medicare reassignment GA
• Emily E Futch, DPT Physical Therapist · Albany, GA · NPI 1750117818
  NPD
• James S. Mason, D.O. Orthopaedic Surgery Physician · Lowville, NY · NPI 1902870934
  NPD ORTHOPAEDIC SURGERY
• Phillip D Hajek, MD Orthopaedic Surgery Physician · Albany, GA · NPI 1003886136
  NPD (past) ORTHOPAEDIC SURGERY
• Jason J. Potocki, M.D. Orthopaedic Surgery of the Spine Physician · Stevens Point, WI · NPI 1619998317
  NPD (past) ORTHOPAEDIC SURGERY
• Harry C Weiser, MD Neurological Surgery Physician · Fargo, ND · NPI 1700872157
  NPD (past)

Medicare participation

Medicare fee-for-service enrollment

Enrolled in GA

Medicare enrollment records

National Provider Directory

Locations

Interoperability endpoints

• Direct secure messaging: jamesmason@oa.allscriptsdirect.net
• Direct secure messaging: kylewatson@oa.allscriptsdirect.net
• Direct secure messaging: paulmichas@oa.allscriptsdirect.net
• Direct secure messaging: konstantintsymbalov@oa.allscriptsdirect.net
• Direct secure messaging: markwolgin@oa.allscriptsdirect.net
• Direct secure messaging: melissalawrence@oa.allscriptsdirect.net
• Direct secure messaging: thomasdardenjr@oa.allscriptsdirect.net

Specialties & licenses

Addresses

Other identifiers

Other names

• Orthopaedic Associates Doing business as

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Oct 17, 2023.

{
    "created_epoch": "1139961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697500800000",
    "number": "1295709178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 407",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317020407",
            "telephone_number": "229-883-4707",
            "fax_number": "229-435-1038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "619 POINTE NORTH BLVD",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317211514",
            "telephone_number": "229-883-4707",
            "fax_number": "229-435-1038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALBANY BONE & JOINT CLINIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-15",
        "last_updated": "2023-10-17",
        "certification_date": "2023-10-17",
        "status": "A",
        "authorized_official_last_name": "BOYLES",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "229-883-4707",
        "authorized_official_credential": "CPC"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300034541A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Orthopaedic Associates",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Orthopaedic Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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All providers in Albany, GA · Orthopaedic Surgery Physician in Georgia