NPIMap

Organization Active NPI

Medical South PC

  • Surgery Physician
  • Douglas, GA
National Provider Identifier
1598827974
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
023646 Issued in GA
Legal business name
MEDICAL SOUTH PC
Practice address
1309 Ocilla Rd
Suite a
Douglas, GA 31533-2209
Phone
(912) 384-5832
Fax
(912) 383-8279
NPI assigned
Dec 14, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Romulo Perez Navarro, M.D.NPI 1336132646
Title
Owner
Phone
(912) 384-5832

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 023646 GA Primary

Addresses

Primary practice location

1309 Ocilla Rd
Suite a
Douglas, GA 31533-2209

Mailing address

PO Box 1028
Douglas, GA 31534-1028
Phone (912) 384-5832

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1166054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1598827974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1028",
            "city": "DOUGLAS",
            "state": "GA",
            "postal_code": "315341028",
            "telephone_number": "912-384-5832",
            "fax_number": "912-383-8279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1309 OCILLA RD",
            "address_2": "SUITE A",
            "city": "DOUGLAS",
            "state": "GA",
            "postal_code": "315332209",
            "telephone_number": "912-384-5832",
            "fax_number": "912-383-8279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL SOUTH PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NAVARRO",
        "authorized_official_first_name": "ROMULO",
        "authorized_official_middle_name": "PEREZ",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "912-384-5832",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "GA",
            "license": "023646",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Douglas, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.