Ddeamc

Primary specialty

Military HospitalTaxonomy code 286500000X

License

LPN024837 Issued in GA

Legal business name

DDEAMC

Practice address

300 W Hospital Rd
Fort Gordon, GA 30905-5741

Phone

(706) 787-9253

Fax

(706) 787-9356

NPI assigned

Aug 6, 2008

Organization subpart

No

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

Authorized official

Name

Mrs. Carolyn L. Jones

Title

LPN

Phone

(706) 787-9253

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1217980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217980800000",
    "number": "1740446905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 W HOSPITAL RD",
            "city": "FORT GORDON",
            "state": "GA",
            "postal_code": "309055741",
            "telephone_number": "706-787-9253",
            "fax_number": "706-787-9356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 W HOSPITAL RD",
            "city": "FORT GORDON",
            "state": "GA",
            "postal_code": "309055741",
            "telephone_number": "706-787-9253",
            "fax_number": "706-787-9356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DDEAMC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-06",
        "last_updated": "2008-08-06",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "CAROLYN",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "LPN",
        "authorized_official_telephone_number": "706-787-9253",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "286500000X",
            "taxonomy_group": "",
            "desc": "Military Hospital",
            "state": "GA",
            "license": "LPN024837",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven James Currier, MD
• Measha Dancy, M.D.
• David Davis, RN
• Janiah Davis
• Julia M Davis, RN
• Marguerite De Haseth, PHARMD
• Frank De Latour III, DDS
• Ronald Lawrence Dearth II
• Carrie C Deer, PMHNP
• Marvin Dees, MD

• Military Hospital in Fort Gordon, GA
• Providers in Fort Gordon, GA by specialty
• Military Hospital in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 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.