General and Thoracic Surgery of Georgia,LLC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

GENERAL AND THORACIC SURGERY OF GEORGIA,LLC

Practice address

2400 Bellevue Rd
Erin Office Park # 11
Dublin, GA 31021-2885

Phone

(478) 274-1114

Fax

(478) 274-1016

NPI assigned

Jul 7, 2006

Organization subpart

No

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

Authorized official

Name

Mark Pickett

Title

VP

Phone

(678) 762-5037

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ernesto G Dizon Jr., MD

  • Surgery Physician
  • Sunnyside, WA
  • NPI 1326070871
  NPD (past)

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191196800000",
    "number": "1629000195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 BELLEVUE RD",
            "address_2": "ERIN OFFICE PARK # 11",
            "city": "DUBLIN",
            "state": "GA",
            "postal_code": "310212885",
            "telephone_number": "478-274-1114",
            "fax_number": "478-274-1016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 BELLEVUE RD",
            "address_2": "ERIN OFFICE PARK # 11",
            "city": "DUBLIN",
            "state": "GA",
            "postal_code": "310212885",
            "telephone_number": "478-274-1114",
            "fax_number": "478-274-1016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENERAL AND THORACIC SURGERY OF GEORGIA,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-07",
        "last_updated": "2007-10-01",
        "status": "A",
        "authorized_official_last_name": "PICKETT",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "678-762-5037"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tracy Wayne Gay, DMD
• Gayco, Inc.
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• Genesis Treatment Center
• Sue Avery Gentry, CRNA
• Arun George, M.D.
• Joyce A. George, RD LD
• Kaleb George

• Surgery Physician in Dublin, GA
• Providers in Dublin, GA by specialty
• Surgery Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2007; 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.