Organization Active NPI

William G. Irwin, M.D. P.a.

  • Dermatology Physician
  • Warner Robins, GA
National Provider Identifier
1396922530
Registry record updated Jan 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
012172 Issued in GA
Legal business name
WILLIAM G. IRWIN, M.D. P.A.
Practice address
212 Hospital Dr
Ste H
Warner Robins, GA 31088-4207
Phone
(478) 328-1433
Fax
(478) 922-7939
NPI assigned
Jan 30, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2008

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

Authorized official

Name
Mrs. Lisa H Jones
Title
Billing Manager
Phone
(478) 328-1433

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X 012172 GA Primary

Addresses

Primary practice location

212 Hospital Dr
Ste H
Warner Robins, GA 31088-4207

Mailing address

218 Sunset Dr
Warner Robins, GA 31088-4102
Phone (478) 328-1433

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1201651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201651200000",
    "number": "1396922530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "218 SUNSET DR",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310884102",
            "telephone_number": "478-328-1433",
            "fax_number": "478-922-7939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 HOSPITAL DR",
            "address_2": "STE H",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310884207",
            "telephone_number": "478-328-1433",
            "fax_number": "478-922-7939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM G. IRWIN, M.D. P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-30",
        "last_updated": "2008-01-30",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "478-328-1433",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "GA",
            "license": "012172",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warner Robins, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2008; 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.