Organization Active NPI

University McDuffie County Regional Medical Center, Inc.

  • Hospitalist Physician
  • Thomson, GA
National Provider Identifier
1730433152
Registry record updated Feb 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
Legal business name
UNIVERSITY MCDUFFIE COUNTY REGIONAL MEDICAL CENTER, INC.
Practice address
2460 Washington Rd
Thomson, GA 30824-6600
Phone
(706) 595-1411
Fax
(706) 597-5139
NPI assigned
Nov 7, 2012
Organization subpart
Yes
Parent organization
UNIVERSITY MCDUFFIE COUNTY REGIONAL MEDICAL CENTER, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 15, 2016

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

Authorized official

Name
Mr. Bob Kepshire, MS, MA, RN, CENP
Title
Administrator / Cno
Phone
(706) 595-1411

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208M00000X Primary
Certified Registered Nurse AnesthetistGroup: 193200000X MULTI-SPECIALTY GROUP 367500000X

Addresses

Primary practice location

2460 Washington Rd
Thomson, GA 30824-6600

Mailing address

2460 Washington Rd
Thomson, GA 30824-6600
Phone (706) 595-1411

Other names 1

  • University Hospital McDuffie Doing business as

National Provider Directory

National Provider Directory
Part of
Univ McDuffie Co Reg Med

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1352246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455494400000",
    "number": "1730433152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2460 WASHINGTON RD",
            "city": "THOMSON",
            "state": "GA",
            "postal_code": "308246600",
            "telephone_number": "706-595-1411",
            "fax_number": "706-597-5141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2460 WASHINGTON RD",
            "city": "THOMSON",
            "state": "GA",
            "postal_code": "308246600",
            "telephone_number": "706-595-1411",
            "fax_number": "706-597-5139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY MCDUFFIE COUNTY REGIONAL MEDICAL CENTER, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "UNIVERSITY MCDUFFIE COUNTY REGIONAL MEDICAL CENTER, INC.",
        "enumeration_date": "2012-11-07",
        "last_updated": "2016-02-15",
        "status": "A",
        "authorized_official_last_name": "KEPSHIRE",
        "authorized_official_first_name": "BOB",
        "authorized_official_title_or_position": "ADMINISTRATOR / CNO",
        "authorized_official_telephone_number": "706-595-1411",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MS, MA, RN, CENP"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Hospitalist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "367500000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "University Hospital McDuffie",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Thomson, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2016; 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.