Laurens County Volunteers in Medicine

Primary specialty

Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X

License

009683 Issued in GA

Legal business name

LAURENS COUNTY VOLUNTEERS IN MEDICINE

Practice address

1506 Telfair St
Dublin, GA 31021-3908

Phone

(478) 272-3446

NPI assigned

Dec 17, 2007

Last updated

Oct 8, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Robert O. Oliver, M.D,

Title

Chairman

Phone

(478) 272-3446

Specialties & licenses 1

Addresses

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.

• Evelyn Marie Hoffa, NP

  • Gerontology Nurse Practitioner
  • Dublin, GA
  • NPI 1972543775
  NPD (past)
• Robert Walter Oliver Jr., M.D.

  • General Practice Physician
  • Dublin, GA
  • NPI 1649492398
  NPD (past)

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

{
    "created_epoch": "1197849600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223424000000",
    "number": "1487837134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4132 DUNMORE DR",
            "city": "LAKE WALES",
            "state": "FL",
            "postal_code": "338595742",
            "telephone_number": "863-324-1580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1506 TELFAIR ST",
            "city": "DUBLIN",
            "state": "GA",
            "postal_code": "310213908",
            "telephone_number": "478-272-3446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAURENS COUNTY VOLUNTEERS IN MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-17",
        "last_updated": "2008-10-08",
        "status": "A",
        "authorized_official_last_name": "OLIVER",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "O.",
        "authorized_official_title_or_position": "CHAIRMAN",
        "authorized_official_telephone_number": "478-272-3446",
        "authorized_official_credential": "M.D,"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "GA",
            "license": "009683",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laurens County Board of Education
• Laurens County Board of Health (Laurens County Health Department)
• Laurens County Board of Health (Laurens County Health Department)
• Laurens County Board of Health (Early Intervention Case MGT)
• Laurens County Board of Health (Ryan White Clinic)
• Laurens Internal Medicine
• Laurens Pediatrics, LLC
• Tara Hutchinson Lausch, NP-C
• Brianna Law, MT
• Maddox Abraham Lawrence, PHARMD.

• Federally Qualified Health Center (FQHC) in Dublin, GA
• Providers in Dublin, GA by specialty
• Federally Qualified Health Center (FQHC) in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 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.