Collins Cardiology

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

048034 Issued in GA

Legal business name

COLLINS CARDIOLOGY

Practice address

1208 Ocilla Rd
Douglas, GA 31533-2220

Phone

(912) 384-6276

Fax

(912) 389-1618

NPI assigned

Jan 9, 2007

Last updated

Jan 6, 2016By 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

Dr. Robert Darrell Collins, D.ONPI 1447250220

Title

Owner / Provider

Phone

(912) 384-6276

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• ROBERT D COLLINS DO Other name

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Practitioners 4

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.

• Robert Darrell Collins, D.O.

  • Cardiovascular Disease Physician
  • Douglas, GA
  • NPI 1447250220
  Medicare reassignment NPD Authorized official
• Tara Roberts Spivey, PA-C, MPAS

  • Medical Physician Assistant
  • Douglas, GA
  • NPI 1982610150
  Medicare reassignment
• Lisa A Batten, NP

  • Nurse Practitioner
  • Douglas, GA
  • NPI 1538469705
  NPD (past)
• Deborah Elder Moffet, P.A., D.C.

  • Medical Physician Assistant
  • Douglas, GA
  • NPI 1871504654
  NPD (past)

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452038400000",
    "number": "1528117728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2109",
            "city": "DOUGLAS",
            "state": "GA",
            "postal_code": "315342109",
            "telephone_number": "912-384-6276",
            "fax_number": "912-389-1618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1208 OCILLA RD",
            "city": "DOUGLAS",
            "state": "GA",
            "postal_code": "315332220",
            "telephone_number": "912-384-6276",
            "fax_number": "912-389-1618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLLINS CARDIOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-09",
        "last_updated": "2016-01-06",
        "status": "A",
        "authorized_official_last_name": "COLLINS",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "DARRELL",
        "authorized_official_title_or_position": "OWNER / PROVIDER",
        "authorized_official_telephone_number": "912-384-6276",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "GA",
            "license": "048034",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300035710A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ROBERT D COLLINS DO",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Coffee Regional Medical Center, Inc (Coffee Regional Medical Center)
• Coffee Regional Medical Center, Inc
• Coffee Regional Medical Center, Inc (Coffee Regional First Care)
• Coffee Regional Medical Center, Inc (Coffee Regional Medical Center)
• Annsley Mathews Coffee, PA-C
• Patricia Dale Collins-Young, CRNA
• Nancy Danielle Collins, FNP
• Robert Darrell Collins, D.O.
• Compassionate Behavioral Health
• Costrini & Meadows, PC

• Cardiovascular Disease Physician in Douglas, GA
• Providers in Douglas, GA by specialty
• Cardiovascular Disease Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.