NPIMap

Organization Active NPI

Winston E Dill PHD LLC

  • Psychologist
  • Saint Marys, GA
National Provider Identifier
1427323120
Registry record updated Mar 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PSY003277 Issued in GA
Legal business name
WINSTON E DILL PHD LLC
Practice address
605 Osborne St
Saint Marys, GA 31558-8410
Phone
(912) 882-6448
Fax
(912) 882-6804
NPI assigned
Mar 13, 2012
Last updated
Mar 13, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2012

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

Authorized official

Name
Winston DillNPI 1134180243
Title
Owner
Phone
(912) 882-6448

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X PSY003277 GA Primary
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X RN196911 GA

Addresses

Primary practice location

605 Osborne St
Saint Marys, GA 31558-8410

Mailing address

605 Osborne St
Saint Marys, GA 31558-8410
Phone (912) 882-6448

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1331596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331596800000",
    "number": "1427323120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "605 OSBORNE ST",
            "city": "SAINT MARYS",
            "state": "GA",
            "postal_code": "315588410",
            "telephone_number": "912-882-6448",
            "fax_number": "912-882-6804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 OSBORNE ST",
            "city": "SAINT MARYS",
            "state": "GA",
            "postal_code": "315588410",
            "telephone_number": "912-882-6448",
            "fax_number": "912-882-6804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINSTON E DILL PHD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-13",
        "last_updated": "2012-03-13",
        "status": "A",
        "authorized_official_last_name": "DILL",
        "authorized_official_first_name": "WINSTON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "912-882-6448"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "GA",
            "license": "PSY003277",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "RN196911",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Marys, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2012; 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.