Active NPI
Joseph G Foust MD LLC
- Family Medicine Physician
- Vidalia, GA
National Provider Identifier
1346587755
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- JOSEPH G FOUST MD LLC
- Practice address
- 1811 Edwina Dr
Vidalia, GA 30474-8963 - Phone
- (912) 537-9779
- Fax
- (912) 538-5529
- NPI assigned
- Jan 7, 2013
- Organization subpart
- Yes
- Parent organization
- SOUTHEAST REGIONAL PRIMARY CARE CORPORATION
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Tony M Osteen
- Title
- Cfo
- Phone
- (912) 537-5314
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
1811 Edwina Dr
Vidalia, GA 30474-8963
Mailing address
PO Box 407
Vidalia, GA 30475-0407
Phone (912) 537-9779
National Provider Directory
National Provider Directory- Part of
- Southeast Regional Primary Care Corporation
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1357516800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1402531200000",
"number": "1346587755",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 407",
"city": "VIDALIA",
"state": "GA",
"postal_code": "304750407",
"telephone_number": "912-537-9779"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1811 EDWINA DR",
"city": "VIDALIA",
"state": "GA",
"postal_code": "304748963",
"telephone_number": "912-537-9779",
"fax_number": "912-538-5529"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JOSEPH G FOUST MD LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "SOUTHEAST REGIONAL PRIMARY CARE CORPORATION",
"enumeration_date": "2013-01-07",
"last_updated": "2014-06-12",
"status": "A",
"authorized_official_last_name": "OSTEEN",
"authorized_official_first_name": "TONY",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "912-537-5314",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Vidalia, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 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.