NPIMap

Organization Active NPI

Archbold Medical Group, Inc.

Doing business as Urology Associates of Archbold

  • Urology Physician
  • Thomasville, GA
National Provider Identifier
1619336898
Registry record updated Jul 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
Legal business name
ARCHBOLD MEDICAL GROUP, INC.
Doing business as
Urology Associates of Archbold
Practice address
100 Mimosa Dr
Thomasville, GA 31792-6676
Phone
(229) 228-5500
NPI assigned
Feb 17, 2016
Last updated
Jul 26, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2019

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

Authorized official

Name
Grady Ramsey
Title
VP
Phone
(229) 227-5102

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X Primary

Addresses

Primary practice location

100 Mimosa Dr
Thomasville, GA 31792-6676

Mailing address

900 Cairo Rd
Thomasville, GA 31792-4255

Other names 1

  • UROLOGY ASSOCIATES OF ARCHBOLD Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
11D0266331Archbold Urology100 Mimosa Drive, Thomasville, GA 31792Provider-performed microscopyAug 15, 2026

National Provider Directory

National Provider Directory
Tax ID family
Archbold Medical Group Inc14 organizations share this tax ID, including this one

Other organizations with this tax ID 13

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

View all 13

Locations

100 Mimosa Dr
Fl 2
Thomasville, GA 31792
Phone (229) 551-0083

NPI Registry JSON

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

{
    "created_epoch": "1455667200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1564099200000",
    "number": "1619336898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 CAIRO RD",
            "city": "THOMASVILLE",
            "state": "GA",
            "postal_code": "317924255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 MIMOSA DR",
            "city": "THOMASVILLE",
            "state": "GA",
            "postal_code": "317926676",
            "telephone_number": "229-228-5500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARCHBOLD MEDICAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-17",
        "last_updated": "2019-07-26",
        "status": "A",
        "authorized_official_last_name": "RAMSEY",
        "authorized_official_first_name": "GRADY",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "229-227-5102"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UROLOGY ASSOCIATES OF ARCHBOLD",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "UROLOGY ASSOCIATES OF ARCHBOLD",
            "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 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.