Organization Active NPI

Middle Georgia Ear Nose & Throat Surgery Center, P.C.

  • Specialist
  • Milledgeville, GA
National Provider Identifier
1619138146
Registry record updated Jan 25, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
035287 Issued in GA
Legal business name
MIDDLE GEORGIA EAR NOSE & THROAT SURGERY CENTER, P.C.
Practice address
111 Fieldstone Dr
Suite 102
Milledgeville, GA 31061-7106
Phone
(478) 452-6610
Fax
(478) 453-0745
NPI assigned
Jun 18, 2008
Last updated
Jan 25, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2010

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

Authorized official

Name
Dr. Rick Lockhart, M.D.NPI 1265425912
Title
Owner
Phone
(478) 452-6610

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 035287 GA Primary

Addresses

Primary practice location

111 Fieldstone Dr
Suite 102
Milledgeville, GA 31061-7106

Mailing address

111 Fieldstone Dr
Suite 102
Milledgeville, GA 31061-7106
Phone (478) 452-6610

Other identifiers 1

IdentifierTypeStateIssuer
00494755AMedicaidGA

National Provider Directory

National Provider Directory

Locations

111 Fieldstone Dr
Ste 102
Milledgeville, GA 31061
Phone (478) 452-6610

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": "1213747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264377600000",
    "number": "1619138146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 FIELDSTONE DR",
            "address_2": "SUITE 102",
            "city": "MILLEDGEVILLE",
            "state": "GA",
            "postal_code": "310617106",
            "telephone_number": "478-452-6610",
            "fax_number": "478-453-0745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 FIELDSTONE DR",
            "address_2": "SUITE 102",
            "city": "MILLEDGEVILLE",
            "state": "GA",
            "postal_code": "310617106",
            "telephone_number": "478-452-6610",
            "fax_number": "478-453-0745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDDLE GEORGIA EAR NOSE & THROAT SURGERY CENTER, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-18",
        "last_updated": "2010-01-25",
        "status": "A",
        "authorized_official_last_name": "LOCKHART",
        "authorized_official_first_name": "RICK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "478-452-6610",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "GA",
            "license": "035287",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00494755A",
            "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 Jan 25, 2010; 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.