NPIMap

Organization Active NPI

Phoebe Putney Memorial Hospital

Doing business as Phoebe Northwest Convenient Care

  • Family Medicine Physician
  • Albany, GA
National Provider Identifier
1407979677
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
PHOEBE PUTNEY MEMORIAL HOSPITAL
Doing business as
Phoebe Northwest Convenient Care
Practice address
2336 Dawson Rd Ste 1600
Albany, GA 31707-2442
Phone
(229) 312-8750
Fax
(229) 312-8765
NPI assigned
Apr 10, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Frank F Middleton III, MD
Title
Director Physician Services
Phone
(229) 312-4055

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

2336 Dawson Rd Ste 1600
Albany, GA 31707-2442

Mailing address

PO Box 2548
Albany, GA 31702-2548
Phone (229) 312-5870

Other names 1

  • PHOEBE NORTHWEST CONVENIENT CARE Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Phoebe Putney Memorial Hospital30 organizations share this tax ID, including this one

Other organizations with this tax ID 29

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

View all 29

Locations

2336 Dawson Rd
Ste 1600
Albany, GA 31707
Phone (229) 312-8750

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1407979677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2548",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317022548",
            "telephone_number": "229-312-5870",
            "fax_number": "229-312-5853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2336 DAWSON RD STE 1600",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317072442",
            "telephone_number": "229-312-8750",
            "fax_number": "229-312-8765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHOEBE PUTNEY MEMORIAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MIDDLETON",
        "authorized_official_first_name": "FRANK",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "DIRECTOR PHYSICIAN SERVICES",
        "authorized_official_telephone_number": "229-312-4055",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PHOEBE NORTHWEST CONVENIENT CARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Albany, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.