Active NPI
Upson Medical Associates LLC
- Anesthesiology Physician
- Thomaston, GA
National Provider Identifier
1871575993
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- Legal business name
- UPSON MEDICAL ASSOCIATES LLC
- Practice address
- 801 W Gordon St
Thomaston, GA 30286-3426 - Phone
- (706) 647-8111
- Fax
- (706) 647-4389
- NPI assigned
- Nov 15, 2005
- Last updated
- Mar 24, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- John Williams
- Title
- Chief Financial Officer
- Phone
- (706) 647-8111
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | NU | Primary | |
| Family Medicine Physician | 207Q00000X | NU | ||
| Diagnostic Radiology Physician | 2085R0202X | NU | ||
| Vascular & Interventional Radiology Physician | 2085R0204X | NU |
Addresses
Primary practice location
801 W Gordon St
Thomaston, GA 30286-3426
Mailing address
PO Box 589
Thomaston, GA 30286-0008
Phone (706) 647-8111
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA, CA, TX, AZ, NV, FL, WA, OR, NJ, VA, PA, NC, KY, UT, SD, DE, LA, CO, WI, TN, SC, ID, RI, NE, DC, IL, MO, MD
Enrollment records 28
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
Locations
620 S 7th St
Las Vegas, NV 89101
Practitioners & affiliated clinicians
Practitioners 172
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Diagnostic Radiology Physician
- Newnan, GA
- NPI 1831122761
-
- Family Nurse Practitioner
- Barnesville, GA
- NPI 1881229045
-
- Physician Assistant
- Thomaston, GA
- NPI 1295895423
-
- Neurocritical Care Physician
- Marietta, GA
- NPI 1700142668
-
- Family Nurse Practitioner
- Barnesville, GA
- NPI 1568078483
-
- Neurology Physician
- Tampa, FL
- NPI 1275928715
-
- Neurology Physician
- Philadelphia, PA
- NPI 1548429137
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132012800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1458777600000",
"number": "1871575993",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 589",
"city": "THOMASTON",
"state": "GA",
"postal_code": "302860008",
"telephone_number": "706-647-8111",
"fax_number": "706-647-4389"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "801 W GORDON ST",
"city": "THOMASTON",
"state": "GA",
"postal_code": "302863426",
"telephone_number": "706-647-8111",
"fax_number": "706-647-4389"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "UPSON MEDICAL ASSOCIATES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2005-11-15",
"last_updated": "2016-03-24",
"status": "A",
"authorized_official_last_name": "WILLIAMS",
"authorized_official_first_name": "JOHN",
"authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
"authorized_official_telephone_number": "706-647-8111"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "2085R0204X",
"taxonomy_group": "",
"desc": "Radiology, Vascular & Interventional Radiology",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Thomaston, GA
- Upson County Hospital Inc. (Upson Family Physicians)
- Upson County Hospital Inc. (Upson Family Medical Center)
- Upson Eye Clinic
- Upson Family Medical Center ,LLC
- Upson Family Physicians, LC
- Upson Medical Emergency Physicans, LLC
- Upson Orthopaedic Clinic
- Upson Surgical Associates, LLC
- Upson Womens Services LLC
- Kelli Phelps Vaughan, RPH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2016; 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.