Georgia Physicians South, PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

GEORGIA PHYSICIANS SOUTH, PC

Practice address

120 E Carter Ave
Blackshear, GA 31516-1561

Phone

(912) 449-1501

Fax

(912) 449-1517

NPI assigned

May 18, 2007

Organization subpart

No

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

Authorized official

Name

Lisa Thrift

Title

Practice Manager

Phone

(912) 449-1501

Specialties & licenses 1

Addresses

Other names 1

• Blackshear Family Practice Doing business as

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

{
    "created_epoch": "1179446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363910400000",
    "number": "1508074154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 E CARTER AVE",
            "city": "BLACKSHEAR",
            "state": "GA",
            "postal_code": "315161561",
            "telephone_number": "912-449-1501",
            "fax_number": "912-449-1517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 E CARTER AVE",
            "city": "BLACKSHEAR",
            "state": "GA",
            "postal_code": "315161561",
            "telephone_number": "912-449-1501",
            "fax_number": "912-449-1517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGIA PHYSICIANS SOUTH, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-18",
        "last_updated": "2013-03-22",
        "status": "A",
        "authorized_official_last_name": "THRIFT",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "912-449-1501"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Blackshear Family Practice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• All providers in Blackshear, GA
• Family Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2013; 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.