Organization Active NPI

Medical Specialty Associates, Inc.

  • Pulmonary Disease Physician
  • Moultrie, GA
National Provider Identifier
1699974212
Registry record updated Jul 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
051231 Issued in GA
Legal business name
MEDICAL SPECIALTY ASSOCIATES, INC.
Practice address
2421 S Main St
Moultrie, GA 31768-6531
Phone
(229) 890-8474
Fax
(229) 890-5025
NPI assigned
Jul 13, 2007
Last updated
Jul 13, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2007

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

Authorized official

Name
Dr. Carlo Majid Hatem, MDNPI 1295814705
Title
President
Phone
(229) 890-8474

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X 051425 GA
Pulmonary Disease Physician 207RP1001X 051231 GA Primary

Addresses

Primary practice location

2421 S Main St
Moultrie, GA 31768-6531

Mailing address

2421 S Main St
Moultrie, GA 31768-6531
Phone (229) 890-8474

National Provider Directory

National Provider Directory

Locations

2421 S Main St
Moultrie, GA 31768
Phone (229) 890-8474

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1184284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184284800000",
    "number": "1699974212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2421 S MAIN ST",
            "city": "MOULTRIE",
            "state": "GA",
            "postal_code": "317686531",
            "telephone_number": "229-890-8474",
            "fax_number": "229-890-5025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2421 S MAIN ST",
            "city": "MOULTRIE",
            "state": "GA",
            "postal_code": "317686531",
            "telephone_number": "229-890-8474",
            "fax_number": "229-890-5025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL SPECIALTY ASSOCIATES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-13",
        "last_updated": "2007-07-13",
        "status": "A",
        "authorized_official_last_name": "HATEM",
        "authorized_official_first_name": "CARLO",
        "authorized_official_middle_name": "MAJID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "229-890-8474",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "GA",
            "license": "051425",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "GA",
            "license": "051231",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moultrie, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2007; 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.