Assure Medical Exams, LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

RN212280 Issued in GA

Legal business name

ASSURE MEDICAL EXAMS, LLC

Practice address

1711 Buena Vista Rd
Suite # 2
Columbus, GA 31906-6141

Phone

(706) 641-2151

Fax

(706) 641-2171

NPI assigned

Jan 17, 2017

Organization subpart

No

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

Authorized official

Name

Ms. Conchetta S Perry, NP

Title

Owner/Nurse Practitioner

Phone

(706) 641-2151

Specialties & licenses 1

Addresses

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

CLIA laboratory certificates

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

{
    "created_epoch": "1484611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484611200000",
    "number": "1386180206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1711 BUENA VISTA RD",
            "address_2": "SUITE # 2",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319066141",
            "telephone_number": "706-641-2151",
            "fax_number": "706-641-2171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1711 BUENA VISTA RD",
            "address_2": "SUITE # 2",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319066141",
            "telephone_number": "706-641-2151",
            "fax_number": "706-641-2171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASSURE MEDICAL EXAMS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-17",
        "last_updated": "2017-01-17",
        "status": "A",
        "authorized_official_last_name": "PERRY",
        "authorized_official_first_name": "CONCHETTA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER/NURSE PRACTITIONER",
        "authorized_official_telephone_number": "706-641-2151",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN212280",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Family Nurse Practitioner in Columbus, GA
• Providers in Columbus, GA by specialty
• Family Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.