Active NPI
Jeffery Thomas Winge, M.D.
- Emergency Medicine Physician
- Douglas, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 059530
- Practice address
- 205 Shirley Ave
Douglas, GA 31533 - Phone
- (912) 383-6966
- Fax
- (912) 389-2108
- NPI assigned
- Jul 8, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 026580 | LA | |
| Emergency Medicine Physician | 207P00000X | 059530 | GA | Primary |
Addresses
Primary practice location
205 Shirley Ave
Douglas, GA 31533
Mailing address
1101 Ocilla Rd
Douglas, GA 31533-2262
Phone (912) 384-1900
Other practice location 1
1101 Ocilla Rd
Douglas, GA 31533-2207
Phone (912) 384-1900
Other practice location 2
1101 Ocilla Rd
Douglas, GA 31533-2207
Phone (912) 384-1900
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1057789 | Medicaid | LA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090211000647 | GA | Practitioner - Emergency Medicine | 4981633708 | Reassigns benefits to 5 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Mercer University School of Medicine, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1101 Ocilla Rd
Douglas, GA 31533-2207
Phone (912) 384-1900
Hospital & facility affiliations
- Coffee Regional Medical Center, Inc
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 059530 | GA | MD | Emergency Medicine Physician |
| 026580 | LA | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Coffee Regional Medical Center, Inc | Current | Accepting new patients | |
| 24 On Physicians, PC | Current | Accepting new patients | |
| 24 On Physicians, P.C. | Current | Accepting new patients | |
| Coffee Regional Medical Center, Inc | Current | Accepting new patients | |
| Ben Hill Emergency Group LLC | Emergency Medicine | Current | Accepting new patients |
| CRH Physician Practices, LLC | Current | Accepting new patients | |
| Tift Regional Health System Inc | Current | Accepting new patients | |
| Coffee Emergency Group LLC | Emergency Medicine | Current | Accepting new patients |
| C & M Medical Services, Inc. | Past | Accepting new patients | |
| Correct Care, Inc. | Emergency Medicine | Past | Accepting new patients |
Locations
13000 Deerfield Pkwy
Ste 100
Alpharetta, GA 30004
1412 Milstead Ave NE
Conyers, GA 30012
Phone (770) 918-3000
205 Shirley Ave
Douglas, GA 31533
Phone (912) 260-5400
1101 Ocilla Rd
Douglas, GA 31533
Phone (912) 383-5641
1301 Peterson Ave S
Ste B
Douglas, GA 31533
Phone (912) 383-6966
200 Perry House Rd
Fitzgerald, GA 31750
Phone (229) 424-1461
304 Turner McCall Blvd SW
Rome, GA 30165
Phone (706) 506-5000
2227 US Highway 41 N
Tifton, GA 31794
Phone (229) 353-6188
901 18th St E
Tifton, GA 31794
Phone (229) 353-6208
1622 Madison Ave
Tifton, GA 31794
Phone (229) 387-8061
1508 Tebeau St
Waycross, GA 31501
Phone (912) 383-6575
Interoperability endpoints
- jeffery.winge.1@9964.direct.athenahealth.com
- jeffery.winge.2@9964.direct.athenahealth.com
Organizations & group practices 10
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Emergency Medicine Physician
- Fitzgerald, GA
- NPI 1043328156
Emergency Medicine, GA
-
- Emergency Medicine Physician
- Douglas, GA
- NPI 1023353489
Emergency Medicine, GA
-
- Rural Health Clinic/Center
- Douglas, GA
- NPI 1639211956
-
- Ophthalmology Physician
- Tifton, GA
- NPI 1790280857
-
- Hospitalist Physician
- Attleboro, MA
- NPI 1790104511
-
- Emergency Medical Services (Emergency Medicine) Physician
- Metairie, LA
- NPI 1710903059
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152316800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1557360000000",
"number": "1770516361",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1101 OCILLA RD",
"city": "DOUGLAS",
"state": "GA",
"postal_code": "315332262",
"telephone_number": "912-384-1900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "205 SHIRLEY AVE",
"city": "DOUGLAS",
"state": "GA",
"postal_code": "31533",
"telephone_number": "912-383-6966",
"fax_number": "912-389-2108"
}
],
"practiceLocations": [
{
"address_1": "1101 Ocilla Rd",
"address_purpose": "LOCATION",
"city": "Douglas",
"state": "GA",
"postal_code": "315332207",
"country_code": "US",
"telephone_number": "912-384-1900",
"fax_number": "912-384-6885",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1101 Ocilla Rd",
"address_purpose": "LOCATION",
"city": "Douglas",
"state": "GA",
"postal_code": "315332207",
"country_code": "US",
"telephone_number": "912-384-1900",
"fax_number": "912-384-6885",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WINGE",
"first_name": "JEFFERY",
"middle_name": "THOMAS",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-08",
"last_updated": "2019-05-09",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "LA",
"license": "026580",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "GA",
"license": "059530",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1057789",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Douglas, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.