Folsom Proctor, MD

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

035504 Issued in GA

Practice address

620 J L White Dr
Suite 100
Jasper, GA 30143-4896

Phone

(706) 692-6980

NPI assigned

Jan 18, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Mountainside Orthopedics

  • Durable Medical Equipment & Medical Supplies
  • Jasper, GA
  • NPI 1639293988
  NPD (past)

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1629121413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 J L WHITE DR",
            "address_2": "SUITE 100",
            "city": "JASPER",
            "state": "GA",
            "postal_code": "301434896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 J L WHITE DR",
            "address_2": "SUITE 100",
            "city": "JASPER",
            "state": "GA",
            "postal_code": "301434896",
            "telephone_number": "706-692-6980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PROCTOR",
        "first_name": "FOLSOM",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "GA",
            "license": "035504",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pinnacle Orthopaedics & Sports Medicine
• Suzanne Teresa Plumley, PT
• James W Potter, MSPT
• Zakary Prem
• Jenna Lee Prince-Farmer, R.D. , L.D.
• Pruitthealth - Jasper, LLC (PruittHealth - Jasper)
• Eric S Pryor, DMD
• Publix Super Markets, Inc (Publix Pharmacy #2047)
• Quality Respi-Care Inc (North Georgia Respi-Care)
• Gregory Todd Rainwater, MD

• Orthopaedic Surgery Physician in Jasper, GA
• Providers in Jasper, GA by specialty
• Orthopaedic Surgery Physician in Georgia

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