Middle Georgia Urology, Inc

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

040361 Issued in GA

Legal business name

MIDDLE GEORGIA UROLOGY, INC

Practice address

109 Osigian Blvd
Suite 300
Warner Robins, GA 31088-8922

Phone

(478) 953-5074

Fax

(478) 953-0546

NPI assigned

Aug 11, 2006

Last updated

Apr 13, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Daniel A Deighton, MD

Title

Owner

Phone

(478) 953-5074

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1239580800000",
    "number": "1649281791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 OSIGIAN BLVD",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310888922",
            "telephone_number": "478-953-5074",
            "fax_number": "478-953-0546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 OSIGIAN BLVD",
            "address_2": "SUITE 300",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310888922",
            "telephone_number": "478-953-5074",
            "fax_number": "478-953-0546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDDLE GEORGIA UROLOGY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-11",
        "last_updated": "2009-04-13",
        "status": "A",
        "authorized_official_last_name": "DEIGHTON",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "478-953-5074",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "GA",
            "license": "040361",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Middle Georgia Psychological Services, LLC
• Middle Georgia Pulmonary, LLC
• Middle Georgia Surgical Institute
• Middle Georgia Vascular Surgery Center LLC
• Middle Georgia Women's Health Partners, LLC
• Middle Georgia Women's Health Practice, LLC
• Cindy Kay Middleton, PT
• Felicia Diane Milam, REGISTERED NURSE

• Surgery Physician in Warner Robins, GA
• Providers in Warner Robins, GA by specialty
• Surgery Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 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.