Active NPI
Medical Specialty Associates, Inc.
- Pulmonary Disease Physician
- Moultrie, GA
National Provider Identifier
1699974212
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- 051231
- 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, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Carlo Majid Hatem, MD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.
-
- Critical Care Medicine (Internal Medicine) Physician
- El Paso, TX
- NPI 1295814705
Pulmonary Disease
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.