Organization Active NPI

Archbold Medical Group

  • Specialist
  • Thomasville, GA
National Provider Identifier
1609215680
Registry record updated Jul 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
ARCHBOLD MEDICAL GROUP
Practice address
706 S Broad St
Thomasville, GA 31792-6107
Phone
(229) 228-2400
NPI assigned
Jun 23, 2013
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Charles D. Hightower
Title
Senior VP/Cfo
Phone
(229) 228-2853

Corporate family (same tax ID) 13

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

National Provider Directory

National Provider Directory
Tax ID family
Archbold Medical Group Inc (14 organizations share this tax ID)

Locations

2705 E Pinetree Blvd
Ste C
Thomasville, GA 31792
Phone (229) 228-7008

706 S Broad St
Thomasville, GA 31792
Phone (229) 228-2400

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X Primary

Addresses

NPPES NPI Registry

Primary practice location

706 S Broad St
Thomasville, GA 31792-6107

Mailing address

706 S Broad St
Thomasville, GA 31792-6107
Phone (229) 228-2400

Other names 1

NPPES NPI Registry
  • Ear Nose Throat and Allegery Center Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 2, 2014.

{
    "created_epoch": "1371945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404259200000",
    "number": "1609215680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "706 S BROAD ST",
            "city": "THOMASVILLE",
            "state": "GA",
            "postal_code": "317926107",
            "telephone_number": "229-228-2400",
            "fax_number": "229-228-2492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "706 S BROAD ST",
            "city": "THOMASVILLE",
            "state": "GA",
            "postal_code": "317926107",
            "telephone_number": "229-228-2400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARCHBOLD MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-23",
        "last_updated": "2014-07-02",
        "status": "A",
        "authorized_official_last_name": "HIGHTOWER",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "SENIOR VP/CFO",
        "authorized_official_telephone_number": "229-228-2853"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ear Nose Throat and Allegery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Thomasville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2014; 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.