Epps Medical Associates LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

57965 Issued in GA

Legal business name

EPPS MEDICAL ASSOCIATES LLC

Practice address

130 Tibet Ave
Suite 204
Savannah, GA 31406-9028

Phone

(912) 358-0231

Fax

(912) 358-0219

NPI assigned

Jan 14, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Willie D Epps Jr., DONPI 1902832504

Title

Director

Phone

(912) 358-0231

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/FFCIAA

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Willie D Epps Jr., D.O.

  • Family Medicine Physician
  • Savannah, GA
  • NPI 1902832504

  GA

  Medicare reassignment Authorized official

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

{
    "created_epoch": "1263427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1263427200000",
    "number": "1780914713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 TIBET AVE",
            "address_2": "SUITE 204",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314069028",
            "telephone_number": "912-358-0231",
            "fax_number": "912-358-0219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 TIBET AVE",
            "address_2": "SUITE 204",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314069028",
            "telephone_number": "912-358-0231",
            "fax_number": "912-358-0219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EPPS MEDICAL ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-14",
        "last_updated": "2010-01-14",
        "status": "A",
        "authorized_official_last_name": "EPPS",
        "authorized_official_first_name": "WILLIE",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "912-358-0231",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "57965",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "504598094E",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Enotis Consulting
• Envision Partners
• Epix Anesthesia of Georgia PC
• Savannah Epperley
• Shakeyah Epperson
• Raegan Epps
• Willie D Epps Jr., D.O.
• Andrea Mamalakis Epting, LPC, MAC
• Hannah Noelle Erdman, OTD, OTR
• Stephanie Ernest, BCBA

• All providers in Savannah, GA
• Family Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.