Active NPI
University McDuffie County Regional Medical Center, Inc.
- Hospitalist Physician
- Thomson, GA
National Provider Identifier
1730433152
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- 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.
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospitalist Physician | 208M00000X | Primary | ||
| Certified Registered Nurse Anesthetist | 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
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.
-
- General Acute Care Hospital
- Thomson, GA
- NPI 1982600540
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.