NPIMap

Organization Active NPI

Douglas Internal Medicine P.C.

  • Internal Medicine Physician
  • Douglas, GA
National Provider Identifier
1457734097
Registry record updated Jul 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036457 Issued in GA
Legal business name
DOUGLAS INTERNAL MEDICINE P.C.
Practice address
1100 Ocilla Rd
Douglas, GA 31533-2206
Phone
(912) 383-7826
Fax
(912) 383-7299
NPI assigned
Jul 1, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2015

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

Authorized official

Name
Dr. James Stan Sinclair, M.D.
Title
Owner
Phone
(912) 383-7826

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X 036457 GA Primary
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X RN098350 GA

Addresses

Primary practice location

1100 Ocilla Rd
Douglas, GA 31533-2206

Mailing address

306 Westside Dr
Douglas, GA 31533-3530
Phone (912) 383-7826

Other names 1

  • First Care Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Douglas Internal Medicine4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Locations

1100 Ocilla Rd
Douglas, GA 31533
Phone (912) 383-7826

NPI Registry JSON

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

{
    "created_epoch": "1435708800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435708800000",
    "number": "1457734097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "306 WESTSIDE DR",
            "city": "DOUGLAS",
            "state": "GA",
            "postal_code": "315333530",
            "telephone_number": "912-383-7826",
            "fax_number": "912-383-7299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 OCILLA RD",
            "city": "DOUGLAS",
            "state": "GA",
            "postal_code": "315332206",
            "telephone_number": "912-383-7826",
            "fax_number": "912-383-7299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOUGLAS INTERNAL MEDICINE P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-01",
        "last_updated": "2015-07-01",
        "status": "A",
        "authorized_official_last_name": "SINCLAIR",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "STAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "912-383-7826",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "036457",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "RN098350",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "First Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Douglas, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 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.