One Source Vascular

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

Legal business name

ONE SOURCE VASCULAR

Practice address

2003B Alice St
Waycross, GA 31501-6209

Phone

(912) 490-9420

Fax

(912) 514-9180

NPI assigned

May 6, 2025

Organization subpart

Yes

Parent organization

ONE SOURCE VASCULARAs reported in NPPES

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

Authorized official

Name

David P Murphy, DPM

Title

Medical Director

Phone

(912) 283-6471

Specialties & licenses 2

Addresses

Tax ID family

One Source Vascular2 organizations share this tax ID, including this one

Part of

One Source Vascular

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• One Source Vascular

  • Medical Specialty Clinic/Center
  • Waycross, GA
  • NPI 1275123671
  NPD tax ID

Locations

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

• Ronald Newton Locke, MD

  • Surgery Physician
  • Fort Mill, SC
  • NPI 1528065406

  Surgery

  NPD (past)

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

{
    "created_epoch": "1746489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746489600000",
    "number": "1386433258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 W ONEIDA ST",
            "city": "WAYCROSS",
            "state": "GA",
            "postal_code": "315015337",
            "telephone_number": "912-283-7596",
            "fax_number": "912-283-1618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2003B ALICE ST",
            "city": "WAYCROSS",
            "state": "GA",
            "postal_code": "315016209",
            "telephone_number": "912-490-9420",
            "fax_number": "912-514-9180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ONE SOURCE VASCULAR",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ONE SOURCE VASCULAR",
        "enumeration_date": "2025-05-06",
        "last_updated": "2025-05-06",
        "certification_date": "2025-05-06",
        "status": "A",
        "authorized_official_last_name": "MURPHY",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "912-283-6471",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Okefenokee Pharmacy of Waycross, LLC Dba Batten'S Prescription Shoppe
• Okefenokee Prescription Shoppe, Inc.
• Janie B Oliver, PHD
• Oncology Hematology Care Center, Inc
• One Source Vascular
• Optimal Readings Professional Services, LLC
• Options Care & Services
• Porsche Tiasha Orange-Johnson, FAMILY NURSE PRACTIT
• Orthopaedic Specialists of South Georgia
• Orthopedic Center PC

• All providers in Waycross, GA
• Medical Specialty Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2025; 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.