Organization Active NPI

J. Edward Dempsey, M.D., P.C.

  • Otolaryngology/Facial Plastic Surgery Physician
  • Athens, GA
National Provider Identifier
1326208893
Registry record updated Mar 31, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology/Facial Plastic Surgery PhysicianTaxonomy code 207YX0905X
License
10908 Issued in GA
Legal business name
J. EDWARD DEMPSEY, M.D., P.C.
Practice address
150 Nacoochee Ave
Athens, GA 30601-1823
Phone
(706) 546-7908
Fax
(706) 546-1944
NPI assigned
Jun 9, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2009

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

Authorized official

Name
Mrs. Amy T. Ellis
Title
Insurance Clerk
Phone
(706) 546-7908

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology/Facial Plastic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207YX0905X 10908 GA Primary

Addresses

Primary practice location

150 Nacoochee Ave
Athens, GA 30601-1823

Mailing address

150 Nacoochee Ave
Athens, GA 30601-1823
Phone (706) 546-7908

Other identifiers 1

IdentifierTypeStateIssuer
000135924AMedicaidGA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1212969600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1238457600000",
    "number": "1326208893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 NACOOCHEE AVE",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306011823",
            "telephone_number": "706-546-7908",
            "fax_number": "706-546-1944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 NACOOCHEE AVE",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306011823",
            "telephone_number": "706-546-7908",
            "fax_number": "706-546-1944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J. EDWARD DEMPSEY, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-09",
        "last_updated": "2009-03-31",
        "status": "A",
        "authorized_official_last_name": "ELLIS",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "INSURANCE CLERK",
        "authorized_official_telephone_number": "706-546-7908",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207YX0905X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
            "state": "GA",
            "license": "10908",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000135924A",
            "state": "GA"
        }
    ],
    "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 Mar 31, 2009; 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.