NPIMap

Organization Active NPI

Athens Hospitalist Services PC

  • Hospitalist Physician
  • Athens, GA
National Provider Identifier
1295803013
Registry record updated Aug 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
Legal business name
ATHENS HOSPITALIST SERVICES PC
Practice address
1230 Baxter St
Athens, GA 30606-3712
Phone
(706) 389-3410
Fax
(706) 389-3411
NPI assigned
Dec 1, 2006
Last updated
Aug 6, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2012

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

Authorized official

Name
Leah Nicole Dunagan
Title
Director
Phone
(706) 389-3410

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X Primary

Addresses

Primary practice location

1230 Baxter St
Athens, GA 30606-3712

Mailing address

PO Box 7695
Athens, GA 30604-7695
Phone (706) 389-3410

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040209000626 GA Part B Supplier - Clinic/Group Practice 6709770167 Receives reassigned benefits from 18 practitioners
Practice locations: Athens, GA

National Provider Directory

National Provider Directory

Locations

2350 Prince Ave
Ste 9
Athens, GA 30606
Phone (706) 208-1990

1090 Experiment Station Rd
Unit 529
Watkinsville, GA 30677
Phone (706) 621-4108

Practitioners & affiliated clinicians

Practitioners 18

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344211200000",
    "number": "1295803013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7695",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306047695",
            "telephone_number": "706-389-3410",
            "fax_number": "706-389-3411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1230 BAXTER ST",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306063712",
            "telephone_number": "706-389-3410",
            "fax_number": "706-389-3411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATHENS HOSPITALIST SERVICES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-01",
        "last_updated": "2012-08-06",
        "status": "A",
        "authorized_official_last_name": "DUNAGAN",
        "authorized_official_first_name": "LEAH",
        "authorized_official_middle_name": "NICOLE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "706-389-3410"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Athens, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.