Georgia War Veterans Home

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

GEORGIA WAR VETERANS HOME

Practice address

2249 Vinson Hwy SE
Milledgeville, GA 31061-4807

Phone

(478) 445-3234

NPI assigned

Sep 24, 2024

Last updated

Sep 24, 2024By the provider in NPPES

Organization subpart

Yes

Parent organization

STG INTERNATIONAL INC.As reported in NPPES

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

Authorized official

Name

Candice Burnside, APRN

Title

Healthcare Operations Manager

Phone

(703) 578-6030

Specialties & licenses 2

Addresses

Part of

Georgia War Veterans Home

Locations

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

{
    "created_epoch": "1727136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727136000000",
    "number": "1518784206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 S QUINCY ST STE 888",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222062233",
            "telephone_number": "703-578-6030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2249 VINSON HWY SE",
            "city": "MILLEDGEVILLE",
            "state": "GA",
            "postal_code": "310614807",
            "telephone_number": "478-445-3234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGIA WAR VETERANS HOME",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "STG INTERNATIONAL INC.",
        "enumeration_date": "2024-09-24",
        "last_updated": "2024-09-24",
        "certification_date": "2024-09-24",
        "status": "A",
        "authorized_official_last_name": "BURNSIDE",
        "authorized_official_first_name": "CANDICE",
        "authorized_official_title_or_position": "HEALTHCARE OPERATIONS MANAGER",
        "authorized_official_telephone_number": "703-578-6030",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Georgia Dept of Human Resources
• Georgia Family Home Care, LLC
• Georgia Medical Equipment
• Georgia Medical Equipment and Respiratory Services Inc
• Georgia Military College
• Laura Giles, LPC
• William Perry Giles Jr., O.D.
• Harold Leon Gillis Jr., PHD
• James Anthony Gorley, LPC- CACII
• Gregory Martin Graham, D.M.D.

• Family Medicine Physician in Milledgeville, GA
• Providers in Milledgeville, GA by specialty
• Family Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2024; 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.