NPIMap

Organization Active NPI

Redmond Physician Practice Company

  • Family Medicine Physician
  • Rome, GA
National Provider Identifier
1730121286
Registry record updated Jan 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
REDMOND PHYSICIAN PRACTICE COMPANY
Practice address
2112 Shorter Ave NW
Suite 200
Rome, GA 30165-2018
Phone
(706) 233-4000
Fax
(706) 233-4006
NPI assigned
Jun 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2008

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

Authorized official

Name
Jeff Rydburg
Title
VP
Phone
(615) 373-7600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

2112 Shorter Ave NW
Suite 200
Rome, GA 30165-2018

Mailing address

2112 Shorter Ave NW
Suite 200
Rome, GA 30165-2018
Phone (706) 233-4000

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1149984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201478400000",
    "number": "1730121286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2112 SHORTER AVE NW",
            "address_2": "SUITE 200",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301652018",
            "telephone_number": "706-233-4000",
            "fax_number": "706-233-4006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2112 SHORTER AVE NW",
            "address_2": "SUITE 200",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301652018",
            "telephone_number": "706-233-4000",
            "fax_number": "706-233-4006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REDMOND PHYSICIAN PRACTICE COMPANY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-11",
        "last_updated": "2008-01-28",
        "status": "A",
        "authorized_official_last_name": "RYDBURG",
        "authorized_official_first_name": "JEFF",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "615-373-7600"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rome, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 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.