Downtown Medical Clinic, LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

DOWNTOWN MEDICAL CLINIC, LLC

Practice address

124 W Madison St Ste D
Dublin, GA 31021-5180

Phone

(478) 304-0606

Fax

(888) 375-3879

NPI assigned

Jun 5, 2023

Organization subpart

No

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

Authorized official

Name

Ronda Joy Cochran

Title

Administrator

Phone

(478) 304-0606

Specialties & licenses 4

Addresses

Other names 1

• Glam Town Medical & Spa LLC Former legal business name

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• James Michael Seward, M.D.

  • Family Medicine Physician
  • Dublin, GA
  • NPI 1033152954
  Medicare reassignment NPD

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

{
    "created_epoch": "1685923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720483200000",
    "number": "1376237354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 W MADISON ST STE D",
            "city": "DUBLIN",
            "state": "GA",
            "postal_code": "310215180",
            "telephone_number": "478-304-0606",
            "fax_number": "888-375-3879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 W MADISON ST STE D",
            "city": "DUBLIN",
            "state": "GA",
            "postal_code": "310215180",
            "telephone_number": "478-304-0606",
            "fax_number": "888-375-3879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOWNTOWN MEDICAL CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-05",
        "last_updated": "2024-07-09",
        "certification_date": "2024-07-09",
        "status": "A",
        "authorized_official_last_name": "COCHRAN",
        "authorized_official_first_name": "RONDA",
        "authorized_official_middle_name": "JOY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "478-304-0606"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Glam Town Medical & Spa LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Glam Town Medical & Spa LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Lyle Chaney Dorman, CRNA
• Hughie Dillon Douglas, FNP-C
• Hannah Dover
• Lisa Dowdy, LPN
• Downtown Health, LLC
• Dr H.J. Williams DDS
• Dr S Kavuri MD PC
• Dr.Soos Pediatrics, PC
• Lisa Michelle Drakes, LMSW
• Patricia Mae Drayton, CRTT

• Family Medicine Physician in Dublin, GA
• Providers in Dublin, GA by specialty
• Family Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.