NPIMap

Organization Active NPI

Phoebe Worth Medical Center

Doing business as Phoebe Family Medicine

  • Respite Care
  • Sylvester, GA
National Provider Identifier
1699904136
Registry record updated Jul 6, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Respite CareTaxonomy code 385H00000X
License
F0609043 Issued in GA
Legal business name
PHOEBE WORTH MEDICAL CENTER
Doing business as
Phoebe Family Medicine
Practice address
1014 West Franklin St
Sylvester, GA 31791
Phone
(229) 776-2965
Fax
(229) 776-4452
NPI assigned
Jul 6, 2009
Last updated
Jul 6, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2009

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

Authorized official

Name
Daniel B Wright, NP-C, RN
Title
Nurse Practitioner, Registerednurse
Phone
(229) 776-2965

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Respite Care 385H00000X F0609043 GA Primary

Addresses

Primary practice location

1014 West Franklin St
Sylvester, GA 31791

Mailing address

1014 West Franklin Street
PO Box 561
Sylvester, GA 31791
Phone (229) 776-2965

Other names 1

  • PHOEBE FAMILY MEDICINE Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Phoebe Putney Health Sy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1246838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1246838400000",
    "number": "1699904136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1014 WEST FRANKLIN STREET",
            "address_2": "PO BOX 561",
            "city": "SYLVESTER",
            "state": "GA",
            "postal_code": "31791",
            "telephone_number": "229-776-2965",
            "fax_number": "229-776-4452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1014 WEST FRANKLIN ST",
            "city": "SYLVESTER",
            "state": "GA",
            "postal_code": "31791",
            "telephone_number": "229-776-2965",
            "fax_number": "229-776-4452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHOEBE WORTH MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-06",
        "last_updated": "2009-07-06",
        "status": "A",
        "authorized_official_last_name": "WRIGHT",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "NURSE PRACTITIONER, REGISTEREDNURSE",
        "authorized_official_telephone_number": "229-776-2965",
        "authorized_official_credential": "NP-C, RN"
    },
    "taxonomies": [
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "GA",
            "license": "F0609043",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PHOEBE FAMILY MEDICINE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sylvester, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2009; 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.