Active NPI
Elizabeth Forbes
- Medical Physician Assistant
- Martinez, GA
National Provider Identifier
1841601853
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 00248
- Practice address
- 4485 Columbia Rd
Martinez, GA 30907-4255 - Phone
- (706) 855-1520
- Fax
- (706) 855-0433
- NPI assigned
- May 13, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 00248 | GA | Primary |
Addresses
Primary practice location
4485 Columbia Rd
Martinez, GA 30907-4255
Mailing address
4485 Columbia Rd
Martinez, GA 30907-4255
Phone (706) 855-1520
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00248 | GA | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Robert B. Rhoades MD, PC | Past | Accepting new patients |
Interoperability endpoints
- https://api.platform.athenahealth.com/13204/brand/1/csg/1/fhir/r4
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 and National Provider Directory roles.
-
- Allergy Physician
- Martinez, GA
- NPI 1962471516
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1399939200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1399939200000",
"number": "1841601853",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4485 COLUMBIA RD",
"city": "MARTINEZ",
"state": "GA",
"postal_code": "309074255",
"telephone_number": "706-855-1520",
"fax_number": "706-855-0433"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4485 COLUMBIA RD",
"city": "MARTINEZ",
"state": "GA",
"postal_code": "309074255",
"telephone_number": "706-855-1520",
"fax_number": "706-855-0433"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FORBES",
"first_name": "ELIZABETH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-05-13",
"last_updated": "2014-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "GA",
"license": "00248",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Martinez, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.