Xenon Health of Georgia LLC

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

Legal business name

XENON HEALTH OF GEORGIA LLC

Practice address

1555 Brampton Avenue
Statesboro, GA 30458-0856

Phone

(912) 681-2007

NPI assigned

Oct 13, 2010

Last updated

Oct 13, 2010By the provider in NPPES

Organization subpart

Yes

Parent organization

XENON HEALTH LLCAs reported in NPPES

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

Authorized official

Name

Dr. Haroon W Chaudhry, MD

Title

President

Phone

(917) 621-6854

Specialties & licenses 1

Addresses

Part of

Xenon Health

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

{
    "created_epoch": "1286928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1286928000000",
    "number": "1467762328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 EAST 29TH STREET",
            "address_2": "#21A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100167516",
            "telephone_number": "917-621-6854",
            "fax_number": "646-304-1681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1555 BRAMPTON AVENUE",
            "city": "STATESBORO",
            "state": "GA",
            "postal_code": "304580856",
            "telephone_number": "912-681-2007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "XENON HEALTH OF GEORGIA LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "XENON HEALTH LLC",
        "enumeration_date": "2010-10-13",
        "last_updated": "2010-10-13",
        "status": "A",
        "authorized_official_last_name": "CHAUDHRY",
        "authorized_official_first_name": "HAROON",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "917-621-6854",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jaelyn Woods
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• Taylor Worthy
• Sharon Wyche
• Ebony Lamyiah Wynn
• Brian Yardman
• Kimberly Kay Yaughn, PHARM. D.
• Natasha Yocco, FNP
• Charlie Brooke York
• Lauren Young

• Anesthesiology Physician in Statesboro, GA
• Providers in Statesboro, GA by specialty
• Anesthesiology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2010; 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.