Organization Active NPI

C. Stephen Little, D.O., LLC

  • Psychiatry Physician
  • Warner Robins, GA
National Provider Identifier
1750637088
Registry record updated Jul 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
035684 Issued in GA
Legal business name
C. STEPHEN LITTLE, D.O., LLC
Practice address
2278 Moody Rd
Building D
Warner Robins, GA 31088-3247
Phone
(478) 929-0294
Fax
(478) 923-9770
NPI assigned
Jul 24, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2012

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

Authorized official

Name
Dr. Cecil Stephen Little, D.O.
Title
Psychiatrist
Phone
(478) 929-0294

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X 035684 GA Primary

Addresses

Primary practice location

2278 Moody Rd
Building D
Warner Robins, GA 31088-3247

Mailing address

2278 Moody Rd
Building D
Warner Robins, GA 31088-3247
Phone (478) 929-0294

Other identifiers 1

IdentifierTypeStateIssuer
00612356AMedicaidGA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1343088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343088000000",
    "number": "1750637088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2278 MOODY RD",
            "address_2": "BUILDING D",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310883247",
            "telephone_number": "478-929-0294",
            "fax_number": "478-923-9770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2278 MOODY RD",
            "address_2": "BUILDING D",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310883247",
            "telephone_number": "478-929-0294",
            "fax_number": "478-923-9770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "C. STEPHEN LITTLE, D.O., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-24",
        "last_updated": "2012-07-24",
        "status": "A",
        "authorized_official_last_name": "LITTLE",
        "authorized_official_first_name": "CECIL",
        "authorized_official_middle_name": "STEPHEN",
        "authorized_official_title_or_position": "PSYCHIATRIST",
        "authorized_official_telephone_number": "478-929-0294",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "GA",
            "license": "035684",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00612356A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Warner Robins, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2012; 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.