Organization Active NPI

J Michael West MD PC

  • Gastroenterology Physician
  • Athens, GA
National Provider Identifier
1467405712
Registry record updated Jul 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
020621 Issued in GA
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

Updated by the provider on Jul 2, 2008

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)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
00181112AMedicaidGA

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.