Organization Active NPI

Oconee Regional Health Ventures, Inc

  • Internal Medicine Physician
  • Milledgeville, GA
National Provider Identifier
1598832602
Registry record updated Jul 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
OCONEE REGIONAL HEALTH VENTURES, INC
Practice address
425 N Cobb St
Milledgeville, GA 31061-2634
Phone
(478) 454-1034
Fax
(478) 454-1114
NPI assigned
Nov 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2015

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

Authorized official

Name
Mrs. Jan Gaston, ADMINISTRATOR
Title
Administrator
Phone
(706) 468-4519

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X GA Primary

Addresses

Primary practice location

425 N Cobb St
Milledgeville, GA 31061-2634

Mailing address

425 N Cobb St
Milledgeville, GA 31061-2634
Phone (478) 454-1034

Other identifiers 2

IdentifierTypeStateIssuer
642646863AMedicaidGA
DD9130OtherGARAILROAD MEDICARE

National Provider Directory

National Provider Directory

Locations

345 N Cobb St
Milledgeville, GA 31061
Phone (478) 454-1034

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436486400000",
    "number": "1598832602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 N COBB ST",
            "city": "MILLEDGEVILLE",
            "state": "GA",
            "postal_code": "310612634",
            "telephone_number": "478-454-1034",
            "fax_number": "478-454-1114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 N COBB ST",
            "city": "MILLEDGEVILLE",
            "state": "GA",
            "postal_code": "310612634",
            "telephone_number": "478-454-1034",
            "fax_number": "478-454-1114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCONEE REGIONAL HEALTH VENTURES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-30",
        "last_updated": "2015-07-10",
        "status": "A",
        "authorized_official_last_name": "GASTON",
        "authorized_official_first_name": "JAN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "706-468-4519",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "ADMINISTRATOR"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "642646863A",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DD9130",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Milledgeville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2015; 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.