Organization Active NPI

L Keith Sipsy DO PC

  • Internal Medicine Physician
  • Hiawassee, GA
National Provider Identifier
1669873311
Registry record updated Sep 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
55436 Issued in GA
Legal business name
L KEITH SIPSY DO PC
Practice address
103 Church St
Hiawassee, GA 30546-3223
Phone
(706) 896-4673
Fax
(706) 896-3992
NPI assigned
Sep 12, 2014
Last updated
Sep 12, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2014

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

Authorized official

Name
Lonnie Keith Sipspy, DO
Title
President
Phone
(706) 896-4673

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 55436 GA Primary

Addresses

Primary practice location

103 Church St
Hiawassee, GA 30546-3223

Mailing address

103 Church St
Hiawassee, GA 30546-3223
Phone (706) 896-4673

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1410480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410480000000",
    "number": "1669873311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 CHURCH ST",
            "city": "HIAWASSEE",
            "state": "GA",
            "postal_code": "305463223",
            "telephone_number": "706-896-4673",
            "fax_number": "706-896-3992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 CHURCH ST",
            "city": "HIAWASSEE",
            "state": "GA",
            "postal_code": "305463223",
            "telephone_number": "706-896-4673",
            "fax_number": "706-896-3992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "L KEITH SIPSY DO PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-12",
        "last_updated": "2014-09-12",
        "status": "A",
        "authorized_official_last_name": "SIPSPY",
        "authorized_official_first_name": "LONNIE",
        "authorized_official_middle_name": "KEITH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "706-896-4673",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "55436",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hiawassee, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2014; 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.