Organization Active NPI

Toccoa Clinic Medical Associates

  • Durable Medical Equipment & Medical Supplies
  • Clayton, GA
National Provider Identifier
1710186168
Registry record updated Mar 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
TOCCOA CLINIC MEDICAL ASSOCIATES
Practice address
269 Ridgecrest Cir
Clayton, GA 30525-4109
Phone
(706) 886-7537
Fax
(706) 886-6542
NPI assigned
Jul 16, 2007
Last updated
Mar 25, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2008

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

Authorized official

Name
Dr. Jim R Wade
Title
Physician
Phone
70688867537

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU Primary

Addresses

Primary practice location

269 Ridgecrest Cir
Clayton, GA 30525-4109

Mailing address

269 Ridgecrest Cir
Clayton, GA 30525-4109
Phone (706) 886-7537

National Provider Directory

National Provider Directory

Locations

269 Ridgecrest Cir
Clayton, GA 30525
Phone (706) 782-3100

269 Ridgecrest Cir
#109
Clayton, GA 30525
Phone (706) 782-7040

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": "1184544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206403200000",
    "number": "1710186168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "269 RIDGECREST CIR",
            "city": "CLAYTON",
            "state": "GA",
            "postal_code": "305254109",
            "telephone_number": "706-886-7537",
            "fax_number": "706-886-6542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "269 RIDGECREST CIR",
            "city": "CLAYTON",
            "state": "GA",
            "postal_code": "305254109",
            "telephone_number": "706-886-7537",
            "fax_number": "706-886-6542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOCCOA CLINIC MEDICAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-16",
        "last_updated": "2008-03-25",
        "status": "A",
        "authorized_official_last_name": "WADE",
        "authorized_official_first_name": "JIM",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "70688867537",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clayton, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2008; 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.