NPIMap

Organization Active NPI

Doctors Hospital Center for Occupational Medicine

Doing business as Center for Occupational Medicine

  • Occupational Medicine Clinic/Center
  • Evans, GA
National Provider Identifier
1578854832
Registry record updated Apr 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Medicine Clinic/CenterTaxonomy code 261QX0100X
Legal business name
DOCTORS HOSPITAL CENTER FOR OCCUPATIONAL MEDICINE
Doing business as
Center for Occupational Medicine
Practice address
635 Ronald Reagan Dr Ste 1
Evans, GA 30809
Phone
(706) 922-5056
Fax
(706) 922-5094
NPI assigned
Apr 21, 2011
Last updated
Apr 28, 2011By the provider in NPPES
Organization subpart
Yes
Parent organization
DOCTORS HOSPITAL OF AUGUSTAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 28, 2011

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

Authorized official

Name
Mr. Shayne George
Title
Ceo
Phone
(706) 651-6008

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Medicine Clinic/Center 261QX0100X NU Primary

Addresses

Primary practice location

635 Ronald Reagan Dr Ste 1
Evans, GA 30809

Mailing address

2215 Tobacco Rd Ste F
Augusta, GA 30809
Phone (706) 396-1140

Other names 1

  • Center for Occupational Medicine Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Center for Occupational Medicine2 organizations share this tax ID, including this one
Part of
Augusta Diagnostic Asso

Other organizations with this tax ID 1

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

Locations

2215 Tobacco Rd
Ste F
Augusta, GA 30906
Phone (706) 396-1140

635 Ronald Reagan Dr
Ste 1
Evans, GA 30809
Phone (706) 922-5056

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1303344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303948800000",
    "number": "1578854832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2215 TOBACCO RD STE F",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "30809",
            "telephone_number": "706-396-1140",
            "fax_number": "706-396-1155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "635 RONALD REAGAN DR STE 1",
            "city": "EVANS",
            "state": "GA",
            "postal_code": "30809",
            "telephone_number": "706-922-5056",
            "fax_number": "706-922-5094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOCTORS HOSPITAL CENTER FOR OCCUPATIONAL MEDICINE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DOCTORS HOSPITAL OF AUGUSTA",
        "enumeration_date": "2011-04-21",
        "last_updated": "2011-04-28",
        "status": "A",
        "authorized_official_last_name": "GEORGE",
        "authorized_official_first_name": "SHAYNE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "706-651-6008",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QX0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Occupational Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Center for Occupational Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Evans, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2011; 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.