Carl Vinson VA Medical Center

Primary specialty

Military General Acute Care HospitalTaxonomy code 2865M2000X

License

RN082069NP Issued in GA

Legal business name

CARL VINSON VA MEDICAL CENTER

Practice address

1826 Veterans Blvd
Dublin, GA 31021-3620

Phone

(478) 272-1210

NPI assigned

Oct 4, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Jan Haskins

Title

Credentialing Specialist

Phone

(478) 277-2804

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1191456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191456000000",
    "number": "1760670731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1826 VETERANS BLVD",
            "city": "DUBLIN",
            "state": "GA",
            "postal_code": "310213620",
            "telephone_number": "478-272-1210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1826 VETERANS BLVD",
            "city": "DUBLIN",
            "state": "GA",
            "postal_code": "310213620",
            "telephone_number": "478-272-1210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARL VINSON VA MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-04",
        "last_updated": "2007-10-04",
        "status": "A",
        "authorized_official_last_name": "HASKINS",
        "authorized_official_first_name": "JAN",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "478-277-2804",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "2865M2000X",
            "taxonomy_group": "",
            "desc": "Military Hospital, Military General Acute Care Hospital",
            "state": "GA",
            "license": "RN082069NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert W. Cannady, PA-C
• Phelisha Kay Caraway, LPN
• Cardiac Care Specialists of Dublin
• Cardiology Associates of Dublin, LLC
• Carl Vinson VA Medical Center
• Carl Vinson Vamc
• Carl Vinson Vamc
• Jamie S Carpenter, R MR
• Heidi Carr, OD
• Michael Clay Carroll Jr., PMHNP

• Military General Acute Care Hospital in Dublin, GA
• Providers in Dublin, GA by specialty
• Military General Acute Care Hospital in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2007; 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.