Organization Active NPI

Pathology Institute of Middle Georgia, P.C.

  • Clinical Medical Laboratory
  • Warner Robins, GA
National Provider Identifier
1669546362
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
076-008 Issued in GA
Legal business name
PATHOLOGY INSTITUTE OF MIDDLE GEORGIA, P.C.
Practice address
1606 Watson Blvd
Warner Robins, GA 31093-3430
Phone
(478) 929-2001
Fax
(478) 929-4167
NPI assigned
Nov 17, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. James Q. Whitaker, M.D.
Title
President
Phone
(478) 929-2001

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 076-008 GA Primary

Addresses

Primary practice location

1606 Watson Blvd
Warner Robins, GA 31093-3430

Mailing address

1606 Watson Blvd
Warner Robins, GA 31093-3430
Phone (478) 929-2001

National Provider Directory

National Provider Directory

Locations

1606 Watson Blvd
Warner Robins, GA 31093
Phone (478) 929-2001

NPI Registry JSON

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

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1669546362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1606 WATSON BLVD",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310933430",
            "telephone_number": "478-929-2001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1606 WATSON BLVD",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310933430",
            "telephone_number": "478-929-2001",
            "fax_number": "478-929-4167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATHOLOGY INSTITUTE OF MIDDLE GEORGIA, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WHITAKER",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "Q.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "478-929-2001",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "GA",
            "license": "076-008",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warner Robins, GA

Sources for this page

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