NPIMap

Organization Active NPI

Phoebe Family Medical Albany

  • Clinic/Center
  • Albany, GA
National Provider Identifier
1619269552
Registry record updated Aug 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
PHOEBE FAMILY MEDICAL ALBANY
Practice address
808 13TH Ave
Albany, GA 31701-1328
Phone
(229) 883-1208
Fax
(229) 883-4363
NPI assigned
May 11, 2011
Organization subpart
Yes
Parent organization
PHOEBE PHYSICIANS GROUPAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 8, 2011

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

Authorized official

Name
Robert Lagesse
Title
Sr VP Physician Practices
Phone
(229) 446-1990

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

808 13TH Ave
Albany, GA 31701-1328

Mailing address

808 13TH Ave
Albany, GA 31701-1328
Phone (229) 883-1208

National Provider Directory

National Provider Directory
Tax ID family
Phoebe Orthopedic Specialists26 organizations share this tax ID, including this one
Part of
Phoebe Orthopedic Specialists

Other organizations with this tax ID 25

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

View all 25

NPI Registry JSON

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

{
    "created_epoch": "1305072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1312761600000",
    "number": "1619269552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "808 13TH AVE",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317011328",
            "telephone_number": "229-883-1208",
            "fax_number": "229-883-4363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "808 13TH AVE",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317011328",
            "telephone_number": "229-883-1208",
            "fax_number": "229-883-4363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHOEBE FAMILY MEDICAL ALBANY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PHOEBE PHYSICIANS GROUP",
        "enumeration_date": "2011-05-11",
        "last_updated": "2011-08-08",
        "status": "A",
        "authorized_official_last_name": "LAGESSE",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "SR VP PHYSICIAN PRACTICES",
        "authorized_official_telephone_number": "229-446-1990"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2011; 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.