Individual provider Active NPI

Raymond P Flowers III, D.O.

  • Pediatrics Physician
  • Douglasville, GA
National Provider Identifier
1780675710
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
020701 Issued in GA
Practice address
6128 Prestley Mill Rd
Suite D
Douglasville, GA 30134-5622
Phone
(770) 949-3888
Fax
(770) 949-3504
NPI assigned
Oct 31, 2005
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 020701 GA Primary

Addresses

Primary practice location

6128 Prestley Mill Rd
Suite D
Douglasville, GA 30134-5622

Mailing address

6128 Prestley Mill Rd
Suite D
Douglasville, GA 30134-5622
Phone (770) 949-3888

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
020701GAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bi-County Pediatrics Pediatrics Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: rflowers3144@choa.gadirect.net

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1130716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1780675710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6128 PRESTLEY MILL RD",
            "address_2": "SUITE D",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301345622",
            "telephone_number": "770-949-3888",
            "fax_number": "770-949-3504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6128 PRESTLEY MILL RD",
            "address_2": "SUITE D",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301345622",
            "telephone_number": "770-949-3888",
            "fax_number": "770-949-3504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLOWERS",
        "first_name": "RAYMOND",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "GA",
            "license": "020701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Douglasville, GA

Sources for this page

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