Jose Ramon Castro, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

021385 Issued in GA

Practice address

1205 Van Streat Hwy
Nicholls, GA 31554-5025

Phone

(912) 345-8979

Fax

(912) 345-8970

NPI assigned

Sep 21, 2006

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

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Jose R. Castro M.D., P.C.

  • Primary Care Clinic/Center
  • Alma, GA
  • NPI 1659672533
  NPD (past) Authorized official

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380758400000",
    "number": "1649378506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 560",
            "city": "ALMA",
            "state": "GA",
            "postal_code": "315100560",
            "telephone_number": "912-345-8979",
            "fax_number": "912-345-8970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1205 VAN STREAT HWY",
            "city": "NICHOLLS",
            "state": "GA",
            "postal_code": "315545025",
            "telephone_number": "912-345-8979",
            "fax_number": "912-345-8970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTRO",
        "first_name": "JOSE",
        "middle_name": "RAMON",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-21",
        "last_updated": "2013-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "021385",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00195588C",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PIN",
            "identifier": "08BDGPR",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bacon County Health Services, Inc. (Nicholls Family Healthcare)
• CRH Physician Practices LLC (CRH Nicholls Clinic)
• Jordyn Cheyenne Dedmond
• Douglas Medical Specialists
• Amber Dowling, CRNA
• Latasha Nicole Gilliard, FNP-BC

• Family Medicine Physician in Nicholls, GA
• Providers in Nicholls, GA by specialty
• Family Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2013; 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.