Encounter Medical Associates SB

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

ENCOUNTER MEDICAL ASSOCIATES SB

Practice address

125 Victory Dr
Suite B
Swainsboro, GA 30401-3234

Phone

(678) 736-6000

Fax

(678) 736-6004

NPI assigned

Jul 3, 2013

Organization subpart

No

Name

Dr. Alfred Ifarinde, PHD

Title

Cioo/Cfo

Phone

(678) 736-6000

Locations

• eMedical Associates SB Doing business as

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 3, 2013.

{
    "created_epoch": "1372809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372809600000",
    "number": "1831539998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 VICTORY DR",
            "address_2": "SUITE B",
            "city": "SWAINSBORO",
            "state": "GA",
            "postal_code": "304013234",
            "telephone_number": "678-736-6000",
            "fax_number": "678-736-6004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 VICTORY DR",
            "address_2": "SUITE B",
            "city": "SWAINSBORO",
            "state": "GA",
            "postal_code": "304013234",
            "telephone_number": "678-736-6000",
            "fax_number": "678-736-6004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENCOUNTER MEDICAL ASSOCIATES SB",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-03",
        "last_updated": "2013-07-03",
        "status": "A",
        "authorized_official_last_name": "IFARINDE",
        "authorized_official_first_name": "ALFRED",
        "authorized_official_title_or_position": "CIOO/CFO",
        "authorized_official_telephone_number": "678-736-6000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RA0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Adolescent Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2080A0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "eMedical Associates SB",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2013; 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.