Cypress Medical, LLC

Primary specialty

Hospitalist PhysicianTaxonomy code 208M00000X

License

55863 Issued in GA

Legal business name

CYPRESS MEDICAL, LLC

Practice address

1499 Fair Rd
Statesboro, GA 30458-1683

Phone

(912) 839-2810

Fax

(912) 839-2808

NPI assigned

Jun 25, 2012

Organization subpart

No

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

Authorized official

Name

Vicky Hendley

Title

Office Manager

Phone

(912) 839-2810

Specialties & licenses 1

Addresses

Other identifiers 2

Practitioners 3

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

• Joseph M Hathaway Jr., MD

  • Gastroenterology Physician
  • Statesboro, GA
  • NPI 1760461925
  NPD (past)
• Karri O Ray, PA-C

  • Physician Assistant
  • Statesboro, GA
  • NPI 1144257379
  NPD (past)
• Neil Wesley Wilkerson, PA-C

  • Physician Assistant
  • Statesboro, GA
  • NPI 1265783260
  NPD (past)

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

{
    "created_epoch": "1340582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1419984000000",
    "number": "1306100342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1957",
            "city": "STATESBORO",
            "state": "GA",
            "postal_code": "304591957",
            "telephone_number": "912-839-2810",
            "fax_number": "912-839-2808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1499 FAIR RD",
            "city": "STATESBORO",
            "state": "GA",
            "postal_code": "304581683",
            "telephone_number": "912-839-2810",
            "fax_number": "912-839-2808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CYPRESS MEDICAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-25",
        "last_updated": "2014-12-31",
        "status": "A",
        "authorized_official_last_name": "HENDLEY",
        "authorized_official_first_name": "VICKY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "912-839-2810"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Hospitalist",
            "state": "GA",
            "license": "55863",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003129950A",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "202G700747",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marianne Crowe, RPH
• Floranne Cruz, DC
• Gloria A Cudd
• Kaleb Curtis
• Robert William Cushner, DPM
• Melinda Lea Czech, LPC
• Nathan D'Amico, ATC
• Hannah Dague
• Kim Marie Dais, PTA
• Reshma S Dalsania, RPH

• Hospitalist Physician in Statesboro, GA
• Providers in Statesboro, GA by specialty
• Hospitalist Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2014; 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.