Dim Physicians LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

DIM PHYSICIANS LLC

Doing business as

Dublin Internal Medicine

Practice address

104 Fairview Park Dr
Dublin, GA 31021-2500

Phone

(478) 272-1366

Fax

(478) 272-2240

NPI assigned

Nov 7, 2012

Last updated

Apr 15, 2015By the provider in NPPES

Organization subpart

Yes

Parent organization

SOUTHEAST REGIONAL. PRIMARY CARE CORPAs reported in NPPES

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

Authorized official

Name

Mr. Tony Marcus O'Steen, CPA

Title

Cfo - Srpcc

Phone

(912) 538-5314

Specialties & licenses 1

Addresses

Other names 1

• DUBLIN INTERNAL MEDICINE Doing business as

Part of

Southeast Regional Primary Care Corporation

Practitioners 2

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.

• Joseph E Carruth, MD

  • Cardiovascular Disease Physician
  • Dublin, GA
  • NPI 1972581452
  NPD
• Tirso A Castillo, MD

  • Gastroenterology Physician
  • Dublin, GA
  • NPI 1083692560
  NPD

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

{
    "created_epoch": "1352246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429056000000",
    "number": "1457605867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 407",
            "city": "VIDALIA",
            "state": "GA",
            "postal_code": "304750407",
            "telephone_number": "912-537-4986",
            "fax_number": "912-538-8166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 FAIRVIEW PARK DR",
            "city": "DUBLIN",
            "state": "GA",
            "postal_code": "310212500",
            "telephone_number": "478-272-1366",
            "fax_number": "478-272-2240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIM PHYSICIANS LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SOUTHEAST REGIONAL. PRIMARY CARE CORP",
        "enumeration_date": "2012-11-07",
        "last_updated": "2015-04-15",
        "status": "A",
        "authorized_official_last_name": "O'STEEN",
        "authorized_official_first_name": "TONY",
        "authorized_official_middle_name": "MARCUS",
        "authorized_official_title_or_position": "CFO - SRPCC",
        "authorized_official_telephone_number": "912-538-5314",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DUBLIN INTERNAL MEDICINE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Dental Associates of Dublin, Inc.
• Department of Veterans Affairs Meds by Mail
• Dermatology & Skin Cancer Center
• DFCS Region IX
• Rachelle Dierestil
• Dimples Transportation LLC
• Kiley Nicole Dix, MSN, APRN, FNP-C
• Danny Roy Dixon, PHD
• Lisa Diane Dixon, LPN
• Martha Winnifred Dixon, FNP-C

• Internal Medicine Physician in Dublin, GA
• Providers in Dublin, GA by specialty
• Internal Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2015; 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.