Organization Active NPI

Lower Oconee Community Hospital, Inc.

  • Family Medicine Physician
  • Mount Vernon, GA
National Provider Identifier
1760750467
Registry record updated Dec 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
LOWER OCONEE COMMUNITY HOSPITAL, INC.
Doing business as
Lower Oconee Brewton Parker Clinic
Practice address
421 W Robinson Drive
Mount Vernon, GA 30445
Phone
(912) 583-4739
Fax
(912) 583-4774
NPI assigned
Dec 8, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2011

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

Authorized official

Name
Peyton A Smith
Title
Ceo
Phone
(912) 523-5113

Specialties & licenses 1

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

Addresses

Primary practice location

421 W Robinson Drive
Mount Vernon, GA 30445

Mailing address

421 W Robinson Drive
Mount Vernon, GA 30445

Other names 1

  • Lower Oconee Brewton Parker Clinic Doing business as

National Provider Directory

National Provider Directory

Locations

421 W Robinson Dr
Mount Vernon, GA 30445
Phone (912) 583-0100

NPI Registry JSON

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

{
    "created_epoch": "1323302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323302400000",
    "number": "1760750467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "421 W ROBINSON DRIVE",
            "city": "MOUNT VERNON",
            "state": "GA",
            "postal_code": "30445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "421 W ROBINSON DRIVE",
            "city": "MOUNT VERNON",
            "state": "GA",
            "postal_code": "30445",
            "telephone_number": "912-583-4739",
            "fax_number": "912-583-4774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOWER OCONEE COMMUNITY HOSPITAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-08",
        "last_updated": "2011-12-08",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "PEYTON",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "912-523-5113"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lower Oconee Brewton Parker Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mount Vernon, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2011; 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.