NPIMap

Organization Active NPI

Ocmulgee Urology, LLC

  • Urology Physician
  • Eastman, GA
National Provider Identifier
1306132410
Registry record updated Jun 30, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
Legal business name
OCMULGEE UROLOGY, LLC
Practice address
1111 Griffin Ave
Suite 1a
Eastman, GA 31023-9101
Phone
(478) 448-4416
Fax
(478) 448-4423
NPI assigned
Jun 27, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2011

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

Authorized official

Name
Mr. Mike Hester
Title
CFP
Phone
(478) 448-4050

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208800000X Primary

Addresses

Primary practice location

1111 Griffin Ave
Suite 1a
Eastman, GA 31023-9101

Mailing address

PO Box 4128
Eastman, GA 31023-4128
Phone (478) 448-4416

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1309132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309392000000",
    "number": "1306132410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4128",
            "city": "EASTMAN",
            "state": "GA",
            "postal_code": "310234128",
            "telephone_number": "478-448-4416",
            "fax_number": "478-448-4423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 GRIFFIN AVE",
            "address_2": "SUITE 1A",
            "city": "EASTMAN",
            "state": "GA",
            "postal_code": "310239101",
            "telephone_number": "478-448-4416",
            "fax_number": "478-448-4423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCMULGEE UROLOGY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-27",
        "last_updated": "2011-06-30",
        "status": "A",
        "authorized_official_last_name": "HESTER",
        "authorized_official_first_name": "MIKE",
        "authorized_official_title_or_position": "CFP",
        "authorized_official_telephone_number": "478-448-4050",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eastman, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2011; 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.