Organization Active NPI

Bruce M. Gioia, MD, PA, Inc.

  • Primary Care Clinic/Center
  • Baxley, GA
National Provider Identifier
1366087686
Registry record updated Nov 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
BRUCE M. GIOIA, MD, PA, INC.
Doing business as
Bruce M Gioia MD PA INC
Practice address
388 S Main St
Baxley, GA 31513-0104
Phone
(912) 705-0781
Fax
(912) 705-0154
NPI assigned
Nov 11, 2019
Last updated
Nov 11, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2019

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

Authorized official

Name
Dawn N Ognilla
Title
Office Manager
Phone
(912) 705-0781

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

388 S Main St
Baxley, GA 31513-0104

Mailing address

388 S Main St
Baxley, GA 31513-0104
Phone (912) 705-0781

Other names 1

  • Bruce M Gioia MD PA INC Doing business as

National Provider Directory

National Provider Directory

Locations

388 S Main St
Baxley, GA 31513
Phone (912) 705-0781

NPI Registry JSON

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

{
    "created_epoch": "1573430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1573430400000",
    "number": "1366087686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "388 S MAIN ST",
            "city": "BAXLEY",
            "state": "GA",
            "postal_code": "315130104",
            "telephone_number": "912-705-0781",
            "fax_number": "912-705-0154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "388 S MAIN ST",
            "city": "BAXLEY",
            "state": "GA",
            "postal_code": "315130104",
            "telephone_number": "912-705-0781",
            "fax_number": "912-705-0154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRUCE M. GIOIA, MD, PA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-11",
        "last_updated": "2019-11-11",
        "status": "A",
        "authorized_official_last_name": "OGNILLA",
        "authorized_official_first_name": "DAWN",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "912-705-0781"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bruce M Gioia MD PA INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Baxley, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2019; 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.