NPIMap

Organization Active NPI

Dublin Orthopaedics & Rehabilitation, Inc

  • Orthopaedic Surgery Physician
  • Dublin, GA
National Provider Identifier
1306038807
Registry record updated May 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
036595 Issued in GA
Legal business name
DUBLIN ORTHOPAEDICS & REHABILITATION, INC
Practice address
2400 Bellevue Rd Ste 15
Dublin, GA 31021-2894
Phone
(478) 272-3022
Fax
(478) 272-4233
NPI assigned
Aug 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 29, 2015

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

Authorized official

Name
Dr. James D Peters, D.O.
Title
Ceo
Phone
(478) 272-3022

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 174400000X 022866 GA
SpecialistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 174400000X 036595 GA
Orthopaedic Surgery PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207X00000X 036595 GA Primary

Addresses

Primary practice location

2400 Bellevue Rd Ste 15
Dublin, GA 31021-2894

Mailing address

2400 Bellevue Rd Ste 15
PO Box 368
Dublin, GA 31021-2894
Phone (478) 272-3022

Other identifiers 2

IdentifierTypeStateIssuer
00539569AMedicaidGA
00249235CMedicaidGA

National Provider Directory

National Provider Directory

Locations

2400 Bellevue Rd
Ste 15
Dublin, GA 31021
Phone (478) 272-3022

2406 Bellevue Rd
Bldg 15
Dublin, GA 31021

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1187308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432857600000",
    "number": "1306038807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 BELLEVUE RD STE 15",
            "address_2": "PO BOX 368",
            "city": "DUBLIN",
            "state": "GA",
            "postal_code": "310212894",
            "telephone_number": "478-272-3022",
            "fax_number": "478-272-4233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 BELLEVUE RD STE 15",
            "city": "DUBLIN",
            "state": "GA",
            "postal_code": "310212894",
            "telephone_number": "478-272-3022",
            "fax_number": "478-272-4233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DUBLIN ORTHOPAEDICS & REHABILITATION, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-17",
        "last_updated": "2015-05-29",
        "status": "A",
        "authorized_official_last_name": "PETERS",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "478-272-3022",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "GA",
            "license": "022866",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "GA",
            "license": "036595",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "GA",
            "license": "036595",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00539569A",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00249235C",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dublin, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2015; 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.