Donald a. Selph Jr.MD PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

042117 Issued in GA

Legal business name

DONALD A. SELPH JR.MD PC

Practice address

911 Plaza Ave
Suite D
Eastman, GA 31023-6785

Phone

(478) 374-5544

Fax

(478) 374-0608

NPI assigned

Sep 8, 2009

Organization subpart

No

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

Authorized official

Name

Ms. Paula Selph

Title

Office Manager

Phone

(478) 374-5544

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Practitioners 1

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

• Donald Anthony Selph Jr., MD FACP

  • Internal Medicine Physician
  • Eastman, GA
  • NPI 1427163344
  Medicare reassignment

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

{
    "created_epoch": "1252368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1252368000000",
    "number": "1669705877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "911 PLAZA AVE",
            "address_2": "SUITE D",
            "city": "EASTMAN",
            "state": "GA",
            "postal_code": "310236785",
            "telephone_number": "478-374-5544",
            "fax_number": "478-374-0608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "911 PLAZA AVE",
            "address_2": "SUITE D",
            "city": "EASTMAN",
            "state": "GA",
            "postal_code": "310236785",
            "telephone_number": "478-374-5544",
            "fax_number": "478-374-0608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DONALD A. SELPH JR.MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-08",
        "last_updated": "2009-09-08",
        "status": "A",
        "authorized_official_last_name": "SELPH",
        "authorized_official_first_name": "PAULA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "478-374-5544",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "042117",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00795165A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dodge County Hospital Authority
• Dodge County Hospital Authority
• Dodge County Hospital Authority
• Dodge Emergency Group LLC
• Dodge Immediate Health
• Mary Kristen Elena Dowdy, COTA/L
• Virginia Ann Dupraw, FNP
• East Georgia Medical
• Eastman Chiropractic Center
• Eastman Dental Associates

• Internal Medicine Physician in Eastman, GA
• Providers in Eastman, GA by specialty
• Internal Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2009; 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.