NPIMap

Individual provider Active NPI

Justin Lee Loy

  • Nephrology Physician
  • Thomasville, GA
National Provider Identifier
1619317682
Registry record updated Sep 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
81773 Issued in GA
Practice address
334 Smith Ave
Thomasville, GA 31792-5533
Phone
(229) 227-1595
NPI assigned
Jul 5, 2013
Last updated
Sep 10, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 81773 GA Primary

Addresses

Primary practice location

334 Smith Ave
Thomasville, GA 31792-5533

Mailing address

334 Smith Ave
Thomasville, GA 31792-5533
Phone (229) 227-1595

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190911001306 GA Practitioner - Nephrology 9436422250 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

334 Smith Ave
Thomasville, GA 31792-5533
Phone (229) 227-1595

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Nephrology Medical Associates of Georgia LLC Nephrology CurrentSince Aug 1, 2019 Accepting new patients
Hospital Authority of the City of Bainbridge and Decatur County Past Accepting new patients
Nephrology Medical Associates of Georgia LLC Nephrology Past Accepting new patients
Nephrology Medical Associates of Georgia, LLC Nephrology Past Accepting new patients

Locations

1840 E Ray Rd
Chandler, AZ 85225
Phone (855) 397-0197

449 31st Ave SE
Moultrie, GA 31768
Phone (229) 227-1595

334 Smith Ave
Thomasville, GA 31792
Phone (229) 226-9412

Interoperability endpoints

  • Direct secure messaging: justin.lee_loy@direct.davitaphysiciansolutions.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1372982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568073600000",
    "number": "1619317682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "334 SMITH AVE",
            "city": "THOMASVILLE",
            "state": "GA",
            "postal_code": "317925533",
            "telephone_number": "229-227-1595",
            "fax_number": "229-227-1385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "334 SMITH AVE",
            "city": "THOMASVILLE",
            "state": "GA",
            "postal_code": "317925533",
            "telephone_number": "229-227-1595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE LOY",
        "first_name": "JUSTIN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-07-05",
        "last_updated": "2019-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "GA",
            "license": "81773",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Thomasville, GA

Sources for this page

Verify at the official NPI Registry.