Waycross Orthopaedics, P.C.

Primary specialty

SpecialistTaxonomy code 174400000X

License

28435 Issued in GA

Legal business name

WAYCROSS ORTHOPAEDICS, P.C.

Practice address

2002 Alice St
Waycross, GA 31501-6210

Phone

(912) 283-8444

Fax

(912) 283-7132

NPI assigned

May 27, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Cheryl B. Tatum

Title

Office Assistant

Phone

(912) 283-8444

Specialties & licenses 1

Addresses

Locations

Practitioners 3

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

• Stephen Randall Adcock, MD

  • Orthopaedic Surgery Physician
  • Waycross, GA
  • NPI 1831395052
  NPD (past)
• Robert S Lykens, M.D.

  • Orthopaedic Surgery Physician
  • Waycross, GA
  • NPI 1518066547
  NPD (past)
• Randall Frederick O'Brien, M.D.

  • Specialist
  • Waycross, GA
  • NPI 1346236155
  NPD (past)

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

{
    "created_epoch": "1148688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1679520753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2265",
            "city": "WAYCROSS",
            "state": "GA",
            "postal_code": "315022265",
            "telephone_number": "912-283-8444",
            "fax_number": "912-283-7132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2002 ALICE ST",
            "city": "WAYCROSS",
            "state": "GA",
            "postal_code": "315016210",
            "telephone_number": "912-283-8444",
            "fax_number": "912-283-7132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAYCROSS ORTHOPAEDICS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TATUM",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "OFFICE ASSISTANT",
        "authorized_official_telephone_number": "912-283-8444",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "GA",
            "license": "28435",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Hickman Watson, PHARMD
• Waycross Dialysis Facility, Inc
• Waycross Dialysis LLC
• Waycross Family Pharmacy
• Waycross Family Practice
• Waycross Urology Clinic PC
• Kelly Beth Weber, M.ED., CCC-SLP
• Antwonette Miriam Weston
• Iona Virginia Weston
• Benjamin Randolph Wheeler, R.PH.

• Specialist in Waycross, GA
• Providers in Waycross, GA by specialty
• Specialist in Georgia

• 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.