NPIMap

Organization Active NPI

Boatwright-McRae Clinic

  • Rural Health Clinic/Center
  • Mtvernon, GA
National Provider Identifier
1831152503
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
BOATWRIGHT-MCRAE CLINIC
Practice address
441 N W Broat St
Mtvernon, GA 30428
Phone
(912) 583-2229
NPI assigned
Apr 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Cindy Vann
Title
Office Manger
Phone
(912) 523-5113

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X GA Primary

Addresses

Primary practice location

441 N W Broat St
Mtvernon, GA 30428

Mailing address

441 N W Broat St
Mtvernon, GA 30428
Phone (912) 583-2229

Other identifiers 1

IdentifierTypeStateIssuer
000002076EMedicaidGA

National Provider Directory

National Provider Directory
Tax ID family
Boatwright-McRae Clinic4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1144713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1831152503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "441 N W BROAT ST",
            "city": "MTVERNON",
            "state": "GA",
            "postal_code": "30428",
            "telephone_number": "912-583-2229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "441 N W BROAT ST",
            "city": "MTVERNON",
            "state": "GA",
            "postal_code": "30428",
            "telephone_number": "912-583-2229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOATWRIGHT-MCRAE CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-11",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "VANN",
        "authorized_official_first_name": "CINDY",
        "authorized_official_title_or_position": "OFFICE MANGER",
        "authorized_official_telephone_number": "912-523-5113"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000002076E",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.