Middle Georgia Primary Care

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

215936 Issued in GA

Legal business name

MIDDLE GEORGIA PRIMARY CARE

Practice address

1115 Morningside Drive
Perry, GA 31069

Phone

(478) 988-3060

NPI assigned

Oct 20, 2016

Organization subpart

No

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

Authorized official

Name

Appavuchetty Soundappan, MDNPI 1912951500

Title

Doctor

Phone

(478) 988-3060

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Appavuchetty Soundappan, MD

  • Internal Medicine Physician
  • Perry, GA
  • NPI 1912951500
  Authorized official Same address or phone

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

{
    "created_epoch": "1476921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476921600000",
    "number": "1699226001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2350 HOUSTON LAKE ROAD",
            "address_2": "APT 1602",
            "city": "KATHLEEN",
            "state": "GA",
            "postal_code": "31047",
            "telephone_number": "478-955-3722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1115 MORNINGSIDE DRIVE",
            "city": "PERRY",
            "state": "GA",
            "postal_code": "31069",
            "telephone_number": "478-988-3060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDDLE GEORGIA PRIMARY CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-20",
        "last_updated": "2016-10-20",
        "status": "A",
        "authorized_official_last_name": "SOUNDAPPAN",
        "authorized_official_first_name": "APPAVUCHETTY",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "478-988-3060",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "215936",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacqueline Renee McGhee
• Kelly Messersmith
• Michael L. Kinsley, D.M.D.
• Middle Georgia Anesthesiology, LLC
• Middle Georgia Podiatry P.C.
• Middle Georgia Primary Care, PC
• Savanna Millican
• Shatasha Mitchell, LPC
• Skylar Mizell, DMD
• Ross Montgomery, O.D.

• Family Nurse Practitioner in Perry, GA
• Providers in Perry, GA by specialty
• Family Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2016; 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.