NPIMap

Organization Active NPI

Dublin Multispecialty LLC

  • Specialist
  • Dublin, GA
National Provider Identifier
1407923089
Registry record updated Apr 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
DUBLIN MULTISPECIALTY LLC
Practice address
100 Medical Dr
Suite 100 & 200
Dublin, GA 31021
Phone
(478) 274-8886
Fax
(478) 274-8887
NPI assigned
Nov 29, 2006
Last updated
Apr 17, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2017

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

Authorized official

Name
Mandi Singletary
Title
Practice Manager
Phone
(478) 274-8886

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X NU Primary
Orthopaedic Surgery Physician 207X00000X NU
Adult Reconstructive Orthopaedic Surgery Physician 207XS0114X NU
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X NU
Pediatric Surgery Physician 2086S0120X NU

Addresses

Primary practice location

100 Medical Dr
Suite 100 & 200
Dublin, GA 31021

Mailing address

100 Medical Dr
Suite 100 & 200
Dublin, GA 31021
Phone (478) 274-8886

Other names 1

  • Pulmonary & Critical Care of Georgia, LLC Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070212000320 GA Part B Supplier - Clinic/Group Practice 8820090434 Receives reassigned benefits from 8 practitioners
Practice locations: Dublin, GA; Warner Robins, GA; Vidalia, GA; Savannah, GA; Sandersville, GA

National Provider Directory

National Provider Directory

Locations

100 Medical Dr
Ste 100
Dublin, GA 31021
Phone (478) 272-2707

100 Medical Dr
Ste 200
Dublin, GA 31021
Phone (478) 274-8886

206 Hospital Dr
Ste B
Dublin, GA 31021
Phone (478) 237-7855

528 Washington Ave
Sandersville, GA 31082
Phone (478) 410-5754

109 Osigian Blvd
Ste 200
Warner Robins, GA 31088
Phone (478) 272-2707

Practitioners & affiliated clinicians

Practitioners 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492387200000",
    "number": "1407923089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 MEDICAL DR",
            "address_2": "SUITE 100 & 200",
            "city": "DUBLIN",
            "state": "GA",
            "postal_code": "31021",
            "telephone_number": "478-274-8886",
            "fax_number": "478-274-8887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 MEDICAL DR",
            "address_2": "SUITE 100 & 200",
            "city": "DUBLIN",
            "state": "GA",
            "postal_code": "31021",
            "telephone_number": "478-274-8886",
            "fax_number": "478-274-8887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DUBLIN MULTISPECIALTY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-29",
        "last_updated": "2017-04-17",
        "status": "A",
        "authorized_official_last_name": "SINGLETARY",
        "authorized_official_first_name": "MANDI",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "478-274-8886"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207XS0114X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2086S0120X",
            "taxonomy_group": "",
            "desc": "Surgery, Pediatric Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pulmonary & Critical Care of Georgia, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Dublin, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2017; 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.