Active NPI
J Michael West MD PC
- Gastroenterology Physician
- Athens, GA
National Provider Identifier
1467405712
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 020621
- Legal business name
- J MICHAEL WEST MD PC
- Practice address
- 740 Prince Ave
Ste 1B
Athens, GA 30606 - Phone
- (706) 548-0008
- Fax
- (706) 369-9673
- NPI assigned
- May 18, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Judy M Lindquist
- Title
- Office Manager
- Phone
- (706) 548-0008
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | 020621 | GA | Primary |
Addresses
Primary practice location
740 Prince Ave
Ste 1B
Athens, GA 30606
Mailing address
740 Prince Ave
Ste 1B
Athens, GA 30606
Phone (706) 548-0008
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00181112A | Medicaid | GA |
National Provider Directory
National Provider DirectoryLocations
5671 Peachtree Dunwoody Rd
Ste 511
Sandy Springs, GA 30342
150 N Park Trl
#B
Stockbridge, GA 30281
Phone (770) 507-0909
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147910400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1214956800000",
"number": "1467405712",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "740 PRINCE AVE",
"address_2": "STE 1B",
"city": "ATHENS",
"state": "GA",
"postal_code": "30606",
"telephone_number": "706-548-0008",
"fax_number": "706-369-9673"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "740 PRINCE AVE",
"address_2": "STE 1B",
"city": "ATHENS",
"state": "GA",
"postal_code": "30606",
"telephone_number": "706-548-0008",
"fax_number": "706-369-9673"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "J MICHAEL WEST MD PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-18",
"last_updated": "2008-07-02",
"status": "A",
"authorized_official_last_name": "LINDQUIST",
"authorized_official_first_name": "JUDY",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "706-548-0008"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Gastroenterology",
"state": "GA",
"license": "020621",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00181112A",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Athens, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.