Glynn Urologists, P.C.

Primary specialty

Pediatric Urology PhysicianTaxonomy code 2088P0231X

License

014120 Issued in GA

Legal business name

GLYNN UROLOGISTS, P.C.

Practice address

2418 Parkwood Dr
Brunswick, GA 31520-4721

Phone

(912) 264-6362

Fax

(912) 264-6352

NPI assigned

Dec 5, 2006

Reactivated

May 22, 2020

Last updated

May 22, 2020By 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

Dr. Jack M. Amie Jr., M.D.NPI 1518034024

Title

President

Phone

(912) 264-6362

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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.

• Jack Marlin Amie Jr., M.D.

  • Urology Physician
  • Brunswick, GA
  • NPI 1518034024
  Authorized official Same address or phone

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1590105600000",
    "number": "1649338278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2418 PARKWOOD DR",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315204721",
            "telephone_number": "912-264-6362",
            "fax_number": "912-264-6352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2418 PARKWOOD DR",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315204721",
            "telephone_number": "912-264-6362",
            "fax_number": "912-264-6352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLYNN UROLOGISTS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-05",
        "last_updated": "2020-05-22",
        "certification_date": "2020-05-22",
        "deactivation_date": "2014-01-23",
        "reactivation_date": "2020-05-22",
        "status": "A",
        "authorized_official_last_name": "AMIE",
        "authorized_official_first_name": "JACK",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "912-264-6362",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2088P0231X",
            "taxonomy_group": "",
            "desc": "Urology, Pediatric Urology",
            "state": "GA",
            "license": "014120",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00083861A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Glynn County Board of Education
• Glynn County Board of Health (Coastal Health District-Brunswick)
• Glynn County Board of Health (Glynn County Health Department)
• Glynn County Georgia
• Glynn County Heatlh Department (Coastal Health District)
• Glynn-Brunswick Memorial Hospital Authority (Southeast Georgia Health System - Transitional Care Unit)
• Glynn-Brunswick Memorial Hospital Authority (Southeast Georgia Regional Medical Center)
• Patrick E Godbey, M.D.
• Rebecca Elizabeth Godwin, LMT
• Ryan Lee Goetz, MD

• Pediatric Urology Physician in Brunswick, GA
• Providers in Brunswick, GA by specialty
• Pediatric Urology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2020; 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.