Organization Active NPI

Flint River Surgical Associates, LLC

  • Surgery Physician
  • Thomaston, GA
National Provider Identifier
1386691285
Registry record updated Apr 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
FLINT RIVER SURGICAL ASSOCIATES, LLC
Practice address
612 W Gordon St
Suite B
Thomaston, GA 30286-3416
Phone
(706) 647-9433
Fax
(706) 647-9431
NPI assigned
May 27, 2006
Last updated
Apr 19, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2010

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

Authorized official

Name
Dr. Phillip R Brown, MD
Title
Partner
Phone
(706) 647-9433

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X NU Primary

Addresses

Primary practice location

612 W Gordon St
Suite B
Thomaston, GA 30286-3416

Mailing address

612 W Gordon St
Suite B
Thomaston, GA 30286-3416
Phone (706) 647-9433

National Provider Directory

National Provider Directory

Locations

612 W Gordon St
Ste B
Thomaston, GA 30286
Phone (706) 647-9433

NPI Registry JSON

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

{
    "created_epoch": "1148688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271635200000",
    "number": "1386691285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "612 W GORDON ST",
            "address_2": "SUITE B",
            "city": "THOMASTON",
            "state": "GA",
            "postal_code": "302863416",
            "telephone_number": "706-647-9433",
            "fax_number": "706-647-9431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "612 W GORDON ST",
            "address_2": "SUITE B",
            "city": "THOMASTON",
            "state": "GA",
            "postal_code": "302863416",
            "telephone_number": "706-647-9433",
            "fax_number": "706-647-9431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLINT RIVER SURGICAL ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-27",
        "last_updated": "2010-04-19",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "PHILLIP",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "706-647-9433",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Thomaston, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2010; 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.