South Georgia Vascular Institute

Primary specialty

SpecialistTaxonomy code 174400000X

License

056092 Issued in GA

Legal business name

SOUTH GEORGIA VASCULAR INSTITUTE

Practice address

903 S Broad St
Thomasville, GA 31792-6114

Phone

(229) 551-0024

Fax

(229) 551-0254

NPI assigned

Sep 18, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Robert Lewus Cirillo Jr., M.D.NPI 1356305973

Title

Medical Director

Phone

(229) 551-0024

Specialties & licenses 1

Addresses

Practitioners 1

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

• Robert L Cirillo Jr., M.D., M.B.A.

  • Diagnostic Radiology Physician
  • Phoenix, AZ
  • NPI 1356305973
  NPD (past) Authorized official

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

{
    "created_epoch": "1190073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190073600000",
    "number": "1609062215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "903 S BROAD ST",
            "city": "THOMASVILLE",
            "state": "GA",
            "postal_code": "317926114",
            "telephone_number": "229-551-0024",
            "fax_number": "229-551-0254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "903 S BROAD ST",
            "city": "THOMASVILLE",
            "state": "GA",
            "postal_code": "317926114",
            "telephone_number": "229-551-0024",
            "fax_number": "229-551-0254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH GEORGIA VASCULAR INSTITUTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-18",
        "last_updated": "2007-09-18",
        "status": "A",
        "authorized_official_last_name": "CIRILLO",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "LEWUS",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "229-551-0024",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "GA",
            "license": "056092",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• South Georgia Laser Vein Center
• South Georgia Physical Medicine and Rehabilitation
• South Georgia Spine and Joint Center, LLC
• South Georgia Surgical Associates, PC
• South Georgia Urology Group, P. C.
• Southern Care Solutions LLC
• Southern Home Care Services, Inc.
• Southern Home Care Services, Inc.
• Southern Home Care Services, Inc.
• Southern Home Care Services, Inc.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 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.