Jonathan Velasquez, MD, PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

048581 Issued in GA

Legal business name

JONATHAN VELASQUEZ, MD, PC

Practice address

1118 Morningside Dr
Suite a
Perry, GA 31069-4948

Phone

(478) 224-3322

Fax

(478) 224-3325

NPI assigned

Jan 28, 2008

Last updated

Dec 30, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jonathan Velasquez, MD

Title

Owner

Phone

(478) 224-3322

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1201478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1230595200000",
    "number": "1326225723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1118 MORNINGSIDE DR",
            "address_2": "SUITE A",
            "city": "PERRY",
            "state": "GA",
            "postal_code": "310694948",
            "telephone_number": "478-224-3322",
            "fax_number": "478-224-3325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1118 MORNINGSIDE DR",
            "address_2": "SUITE A",
            "city": "PERRY",
            "state": "GA",
            "postal_code": "310694948",
            "telephone_number": "478-224-3322",
            "fax_number": "478-224-3325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JONATHAN VELASQUEZ, MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-28",
        "last_updated": "2008-12-30",
        "status": "A",
        "authorized_official_last_name": "VELASQUEZ",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "478-224-3322",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "048581",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Perry, GA
• Providers in Perry, GA by specialty
• Internal Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2008; 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.