Sumter Primary Care PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

049421 Issued in GA

Legal business name

SUMTER PRIMARY CARE PC

Practice address

202 Mayo Street
Ste B
Americus, GA 31709

Phone

(229) 931-9202

Fax

(229) 931-9206

NPI assigned

Nov 6, 2006

Organization subpart

No

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

Authorized official

Name

Audrey M Hodge, MD

Title

Physician

Phone

(229) 931-9202

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1689743866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 408",
            "city": "AMERICUS",
            "state": "GA",
            "postal_code": "31709",
            "telephone_number": "229-931-9202",
            "fax_number": "229-931-9206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 MAYO STREET",
            "address_2": "STE B",
            "city": "AMERICUS",
            "state": "GA",
            "postal_code": "31709",
            "telephone_number": "229-931-9202",
            "fax_number": "229-931-9206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMTER PRIMARY CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HODGE",
        "authorized_official_first_name": "AUDREY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "229-931-9202",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "049421",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sumter Family Medicine & Sports Medicine Center, P.C.
• Sumter Oncology and Surgery
• Sumter Orthopedic
• Sumter Pediatrics LLC (Sumter Pediatrics)
• Sumter Pediatrics LLC
• Sumter Regional Medical Group, PC
• Sumter Specialty Medicine
• Sumter Women and Family Health
• Sumter Wound Care
• Sumter Youth Develpment Campus

• Family Medicine Physician in Americus, GA
• Providers in Americus, GA by specialty
• Family Medicine Physician 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.