Eugene Van Herrin, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

11369 Issued in GA

Practice address

740 Prince Ave
BLDG 3
Athens, GA 30606-5908

Phone

(706) 548-4272

Fax

(706) 548-9181

NPI assigned

Dec 28, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1578629564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "740 PRINCE AVE",
            "address_2": "BLDG 3",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306065908",
            "telephone_number": "706-548-4272",
            "fax_number": "706-548-9181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "740 PRINCE AVE",
            "address_2": "BLDG 3",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306065908",
            "telephone_number": "706-548-4272",
            "fax_number": "706-548-9181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERRIN",
        "first_name": "EUGENE",
        "middle_name": "VAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-28",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "GA",
            "license": "11369",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS NUMBER",
            "identifier": "237707",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00114265B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Keith N Herist, PHARM.D.
• Alberto Alejandro Hernandez
• Alexandra Herrera
• Andrew H Herrin, M.D.
• Clara Herrin, MD
• Brantley Herrington, PA
• William Herrington, MD
• Marshall Todd Herron, DPM
• Jubilee Grace Herrs, ATC
• Joyce Elizabeth Hethcox, MSW

• Specialist in Athens, GA
• Providers in Athens, GA by specialty
• Specialist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.