Active NPI
Rockdale Physician Practices
- Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
- Conyers, GA
National Provider Identifier
1346515038
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
- Legal business name
- ROCKDALE PHYSICIAN PRACTICES
- Practice address
- 1412 Milstead Ave NE
Conyers, GA 30012-3877 - Phone
- (770) 918-3880
- Fax
- (678) 609-4925
- NPI assigned
- Mar 14, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jess N Judy
- Title
- President
- Phone
- (615) 372-8500
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Undersea and Hyperbaric Medicine (Preventive Medicine) Physician | 2083P0011X | Primary |
Addresses
Primary practice location
1412 Milstead Ave NE
Conyers, GA 30012-3877
Mailing address
1412 Milstead Ave NE
Conyers, GA 30012-3877
Phone (770) 918-3880
Other names 1
- Woundcare & Hyperbaric Medicine Associates
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1331683200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1331683200000",
"number": "1346515038",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1412 MILSTEAD AVE NE",
"city": "CONYERS",
"state": "GA",
"postal_code": "300123877",
"telephone_number": "770-918-3880",
"fax_number": "678-609-4925"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1412 MILSTEAD AVE NE",
"city": "CONYERS",
"state": "GA",
"postal_code": "300123877",
"telephone_number": "770-918-3880",
"fax_number": "678-609-4925"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROCKDALE PHYSICIAN PRACTICES",
"organizational_subpart": "NO",
"enumeration_date": "2012-03-14",
"last_updated": "2012-03-14",
"status": "A",
"authorized_official_last_name": "JUDY",
"authorized_official_first_name": "JESS",
"authorized_official_middle_name": "N",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "615-372-8500"
},
"taxonomies": [
{
"code": "2083P0011X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Preventive Medicine, Undersea and Hyperbaric Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Woundcare & Hyperbaric Medicine Associates",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Conyers, GA
- Rockdale Hospital LLC
- Rockdale Medical Center Home Health
- Rockdale Medical Center Inc.
- Rockdale Pathology, PC
- Rockdale Pediatrics Healthcare, PC
- Rockdale Physician Practices LLC
- Rockdale Physician Practices LLC
- Rockdale Physician Practices LLC
- Rockdale Physician Practices LLC
- Rockdale Physician Practices LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.