Organization Active NPI

Joseph H. Berger, MD, LLC

  • Otolaryngology/Facial Plastic Surgery Physician
  • Thomasville, GA
National Provider Identifier
1649468463
Registry record updated Feb 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology/Facial Plastic Surgery PhysicianTaxonomy code 207YX0905X
License
028722 Issued in GA
Legal business name
JOSEPH H. BERGER, MD, LLC
Practice address
305 W Hansell St
Thomasville, GA 31792-6649
Phone
(229) 228-6355
Fax
(229) 228-6841
NPI assigned
Oct 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2008

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

Authorized official

Name
Joseph H Berger, M.D.NPI 1437251410
Title
Medical Doctor
Phone
(229) 228-6355

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery within the Head & Neck (Otolaryngology) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207YX0007X 028722 GA
Otolaryngology/Facial Plastic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207YX0905X 028722 GA Primary

Addresses

Primary practice location

305 W Hansell St
Thomasville, GA 31792-6649

Mailing address

305 W Hansell St
Thomasville, GA 31792-6649
Phone (229) 228-6355

Other identifiers 1

IdentifierTypeStateIssuer
CB4831OtherGARAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051215000202 GA Part B Supplier - Clinic/Group Practice 6800817065 Receives reassigned benefits from 2 practitioners
Practice locations: Moultrie, GA; Thomasville, GA

National Provider Directory

National Provider Directory

Locations

1 Sweet Bay Ct
Ste D
Moultrie, GA 31768
Phone (229) 228-6355

305 W Hansell St
Thomasville, GA 31792
Phone (229) 228-5660

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1191542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203292800000",
    "number": "1649468463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 W HANSELL ST",
            "city": "THOMASVILLE",
            "state": "GA",
            "postal_code": "317926649",
            "telephone_number": "229-228-6355",
            "fax_number": "229-228-6841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 W HANSELL ST",
            "city": "THOMASVILLE",
            "state": "GA",
            "postal_code": "317926649",
            "telephone_number": "229-228-6355",
            "fax_number": "229-228-6841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSEPH H. BERGER, MD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-05",
        "last_updated": "2008-02-18",
        "status": "A",
        "authorized_official_last_name": "BERGER",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "MEDICAL DOCTOR",
        "authorized_official_telephone_number": "229-228-6355",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207YX0007X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Otolaryngology, Plastic Surgery within the Head & Neck",
            "state": "GA",
            "license": "028722",
            "primary": false
        },
        {
            "code": "207YX0905X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
            "state": "GA",
            "license": "028722",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CB4831",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Thomasville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.