Ocmulgee Family Medicine LLC.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

031176 Issued in GA

Legal business name

OCMULGEE FAMILY MEDICINE LLC.

Practice address

725 Legion Dr
Eastman, GA 31023-6780

Phone

(478) 374-3574

NPI assigned

Mar 12, 2009

Last updated

Mar 12, 2009By 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

Patricia Patterson

Title

M.D.

Phone

(478) 374-3574

Specialties & licenses 1

Addresses

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Dodge County Hospital Authority

  dba Dodge County Hospital

  • Rural Acute Care Hospital
  • Eastman, GA
  • NPI 1740272095

  Member Of

  NPD member

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

{
    "created_epoch": "1236816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236816000000",
    "number": "1548401060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 LEGION DR",
            "city": "EASTMAN",
            "state": "GA",
            "postal_code": "310236780",
            "telephone_number": "478-374-3574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 LEGION DR",
            "city": "EASTMAN",
            "state": "GA",
            "postal_code": "310236780",
            "telephone_number": "478-374-3574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCMULGEE FAMILY MEDICINE LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-12",
        "last_updated": "2009-03-12",
        "status": "A",
        "authorized_official_last_name": "PATTERSON",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_title_or_position": "M.D.",
        "authorized_official_telephone_number": "478-374-3574"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "031176",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Olubansile A Mimiko, M.D.
• Demetria Aries Mitchell
• Dana W Mullis, DMD
• Debbie Jones Mullis, LCSW
• James Michael Mullis
• Ocmulgee Internal Medicine and Nephrology, LLC
• Ocmulgee Medical Services, LLC
• Ocmulgee Urology, LLC
• Brande Barlow Ogden, COTA/L
• Clayton Shane Oliver, DMD

• Family Medicine Physician in Eastman, GA
• Providers in Eastman, 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 Mar 12, 2009; 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.