NPIMap

Organization Active NPI

Quinton W Weldon Estate

  • Family Medicine Physician
  • Americus, GA
National Provider Identifier
1750546958
Registry record updated Apr 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
QUINTON W WELDON ESTATE
Practice address
100 Plantation Ridge Drive, Suite D
Americus, GA 31709
Phone
(229) 928-3920
Fax
(229) 928-3921
NPI assigned
Jul 28, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2015

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

Authorized official

Name
Mrs. Lisa M Weldon, EXECUTOR/OWNER
Title
Executor
Phone
(229) 928-3920

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207Q00000X Primary
Family Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207Q00000X 056786 GA

Addresses

Primary practice location

100 Plantation Ridge Drive, Suite D
Americus, GA 31709

Mailing address

P.O. Box 546
Americus, GA 31709
Phone (229) 928-3920

National Provider Directory

National Provider Directory

Locations

151 Mayo St
Americus, GA 31709
Phone (229) 928-4144

100 Plantation Ridge Dr
Americus, GA 31709
Phone (229) 474-6933

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1217203200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429747200000",
    "number": "1750546958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 546",
            "city": "AMERICUS",
            "state": "GA",
            "postal_code": "31709",
            "telephone_number": "229-928-3920",
            "fax_number": "229-928-3921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 PLANTATION RIDGE DRIVE, SUITE D",
            "city": "AMERICUS",
            "state": "GA",
            "postal_code": "31709",
            "telephone_number": "229-928-3920",
            "fax_number": "229-928-3921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUINTON W WELDON ESTATE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-28",
        "last_updated": "2015-04-23",
        "status": "A",
        "authorized_official_last_name": "WELDON",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "EXECUTOR",
        "authorized_official_telephone_number": "229-928-3920",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "EXECUTOR/OWNER"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "056786",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Americus, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2015; 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.