Organization Active NPI

Habersham Surgical Associates P C

  • Surgery Physician
  • Toccoa, GA
National Provider Identifier
1639300478
Registry record updated Dec 24, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
HABERSHAM SURGICAL ASSOCIATES P C
Practice address
1678 Falls Road
Toccoa, GA 30577-2411
Phone
(706) 886-0628
Fax
(706) 886-3735
NPI assigned
Jul 28, 2009
Last updated
Dec 24, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 24, 2009

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

Authorized official

Name
Dr. Robert T Buchanan, M.D.
Title
President
Phone
(706) 886-0628

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X NU Primary

Addresses

Primary practice location

1678 Falls Road
Toccoa, GA 30577-2411

Mailing address

PO Box 953
Toccoa, GA 30577-1416
Phone (706) 886-0628

National Provider Directory

National Provider Directory

Locations

1656 Falls Rd
Ste A
Toccoa, GA 30577
Phone (706) 886-0628

1678 Falls Rd
Toccoa, GA 30577
Phone (706) 297-7877

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1248739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1261612800000",
    "number": "1639300478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 953",
            "city": "TOCCOA",
            "state": "GA",
            "postal_code": "305771416",
            "telephone_number": "706-886-0628",
            "fax_number": "706-886-3735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1678 FALLS ROAD",
            "city": "TOCCOA",
            "state": "GA",
            "postal_code": "305772411",
            "telephone_number": "706-886-0628",
            "fax_number": "706-886-3735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HABERSHAM SURGICAL ASSOCIATES P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-28",
        "last_updated": "2009-12-24",
        "status": "A",
        "authorized_official_last_name": "BUCHANAN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "706-886-0628",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toccoa, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2009; 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.