Oconee Wound Care Specialists LLC

Primary specialty

Undersea and Hyperbaric Medicine (Preventive Medicine) PhysicianTaxonomy code 2083P0011X

License

35243 Issued in GA

Legal business name

OCONEE WOUND CARE SPECIALISTS LLC

Practice address

4017 Atlanta Hwy Ste a
Athens, GA 30606-0812

Phone

(706) 389-3065

NPI assigned

Jun 25, 2013

Last updated

Sep 24, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. William A Dix, M.D.NPI 1669450953

Title

Secretary

Phone

(706) 549-0901

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Elizabeth Cavanah Albers, DNP

  • Family Nurse Practitioner
  • Watkinsville, GA
  • NPI 1477047769
  Medicare reassignment Care Compare group NPD
• William Alexander Dix, M.D.

  • Emergency Medicine Physician
  • Bogart, GA
  • NPI 1669450953
  Medicare reassignment NPD Authorized official
• Rachel W Hamil, MD

  • Emergency Medicine Physician
  • Bogart, GA
  • NPI 1124087077

  Undersea and Hyperbaric Medicine

  Medicare reassignment Care Compare group NPD
• Lisa M Perez, M.D.

  • Emergency Medicine Physician
  • Roswell, GA
  • NPI 1487678918
  Medicare reassignment Care Compare group NPD
• Robert Price III, M.D.

  • Emergency Medicine Physician
  • Athens, GA
  • NPI 1003946468
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1372118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1569283200000",
    "number": "1376983262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1570 BOB GODFREY RD",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306055319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4017 ATLANTA HWY STE A",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306060812",
            "telephone_number": "706-389-3065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCONEE WOUND CARE SPECIALISTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-25",
        "last_updated": "2019-09-24",
        "status": "A",
        "authorized_official_last_name": "DIX",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "706-549-0901",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2083P0011X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Preventive Medicine, Undersea and Hyperbaric Medicine",
            "state": "GA",
            "license": "35243",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Oconee Medical Group
• Oconee Nephrology Associates, Inc.
• Oconee Physical Therapy & Sports
• Oconee Speech-Language Solutions
• Oconee Weight and Wellness, LLC
• Oladipo Odeyinka, M.D.
• Odyssey Healthcare Operating B, LP (Gentiva)
• Charles Lawton Ogburn III, MD
• Olushesan Martins Ogundipe, M.D
• Grace Damilola Ogunkoya, M.D.

• Undersea and Hyperbaric Medicine (Preventive Medicine) Physician in Athens, GA
• Providers in Athens, GA by specialty
• Undersea and Hyperbaric Medicine (Preventive Medicine) Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.