Active NPI
Bruce M. Gioia, MD, PA, Inc.
- Primary Care Clinic/Center
- Baxley, GA
National Provider Identifier
1366087686
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- 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, 2019
- 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
- Dawn N Ognilla
- Title
- Office Manager
- Phone
- (912) 705-0781
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryLocations
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
- Robert E Bennett Jr.
- Amber Leigh Boatright, DPT
- Truitt Shane Boatright, M.D.
- Bone and Joint Institute of South Georgia, P.C.
- Janey B Britt, NP
- Bruce M. Gioia, MD, PA, Inc. (Jojasfra Medical Services)
- Burke Hospital Company (Burke Health Primary Care)
- Bela Ann Caldwell, LCSW
- Rendi M Carter, LCSW
- Amy Nicole Causey, P.A.-C
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.