Urological Health Center, PC

Primary specialty

Urology PhysicianTaxonomy code 208800000X

Legal business name

UROLOGICAL HEALTH CENTER, PC

Practice address

906 N 5TH St
Ste D
Cordele, GA 31015-3200

Phone

(229) 271-4630

NPI assigned

Dec 13, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Melvin L Fussell, M.D.NPI 1699713594

Title

Urologist

Phone

(229) 271-4630

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Tax ID family

Urological Health Center PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Urological Health Center, PC

  • Urology Physician
  • Warner Robins, GA
  • NPI 1477033124
  NPD tax ID

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Melvin Lee Christopher Fussell, M.D.

  • Urology Physician
  • Warner Robins, GA
  • NPI 1699713594
  Medicare reassignment NPD Authorized official
• Harry S. Latham, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Cordele, GA
  • NPI 1043413271
  Medicare reassignment NPD
• Michael Shane Busman, MD

  • Family Medicine Physician
  • Americus, GA
  • NPI 1073584504
  NPD (past)
• Ray W Eschmann, NP

  • Family Nurse Practitioner
  • Albany, GA
  • NPI 1063828887
  NPD (past)
• Lisa Patterson Faircloth, FNP-C

  • Nurse Practitioner
  • Cordele, GA
  • NPI 1508968256
  NPD (past)

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344211200000",
    "number": "1578624367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5098",
            "city": "CORDELE",
            "state": "GA",
            "postal_code": "310105098",
            "telephone_number": "229-271-4630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "906 N 5TH ST",
            "address_2": "STE D",
            "city": "CORDELE",
            "state": "GA",
            "postal_code": "310153200",
            "telephone_number": "229-271-4630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UROLOGICAL HEALTH CENTER, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-13",
        "last_updated": "2012-08-06",
        "status": "A",
        "authorized_official_last_name": "FUSSELL",
        "authorized_official_first_name": "MELVIN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "UROLOGIST",
        "authorized_official_telephone_number": "229-271-4630",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "162941944F",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "162941944H",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Trucare 360 LLC
• True Medical Care, LLC
• U Save It Pharmacy Inc
• U-Save-It Pharmacy Inc.
• Unihealth Solutions, Inc.
• Nilam Chandrakant Vaughan, D.O.
• Juan G Velazquez, D.O.
• Mansi Verma, DMD
• Christina Vinyard
• Teddi Virgil, MD

• Urology Physician in Cordele, GA
• Providers in Cordele, GA by specialty
• Urology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2012; 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.