NPIMap

Organization Active NPI

Douglas Family Medicine Assoc

  • Family Medicine Physician
  • Douglas, GA
National Provider Identifier
1508915687
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
24564 Issued in GA
Legal business name
DOUGLAS FAMILY MEDICINE ASSOC
Practice address
102 Bowens Mill Rd
Douglas, GA 31533-2250
Phone
(912) 384-3838
Fax
(912) 383-6365
NPI assigned
Jan 9, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Arlie Gordon Boone, M.D.
Title
Owner
Phone
(912) 384-3838

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 24564 GA Primary

Addresses

Primary practice location

102 Bowens Mill Rd
Douglas, GA 31533-2250

Mailing address

PO Box 1500
Douglas, GA 31534-1500
Phone (912) 384-3838

National Provider Directory

National Provider Directory

Locations

102 Bowens Mill Rd
Douglas, GA 31533
Phone (912) 384-3838

Practitioners & affiliated clinicians

Practitioners 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1508915687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1500",
            "city": "DOUGLAS",
            "state": "GA",
            "postal_code": "315341500",
            "telephone_number": "912-384-3838",
            "fax_number": "912-383-6365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 BOWENS MILL RD",
            "city": "DOUGLAS",
            "state": "GA",
            "postal_code": "315332250",
            "telephone_number": "912-384-3838",
            "fax_number": "912-383-6365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOUGLAS FAMILY MEDICINE ASSOC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BOONE",
        "authorized_official_first_name": "ARLIE",
        "authorized_official_middle_name": "GORDON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "912-384-3838",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "24564",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Douglas, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.