Organization Active NPI

Georgia Internal Medicine Partners, LLC

  • Internal Medicine Physician
  • Augusta, GA
National Provider Identifier
1871650309
Registry record updated May 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
GEORGIA INTERNAL MEDICINE PARTNERS, LLC
Practice address
1203 George C. Wilson Drive, Suite B
Augusta, GA 30909-4502
Phone
(706) 447-1118
Fax
(706) 826-2775
NPI assigned
Jan 3, 2007
Last updated
May 20, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2024

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

Authorized official

Name
Dr. James L Millen, MDNPI 1558373043
Title
MD, Owner
Phone
(706) 294-2570

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X NU Primary

Addresses

Primary practice location

1203 George C. Wilson Drive, Suite B
Augusta, GA 30909-4502

Mailing address

1203 George C Wilson Drive, Suite B
Augusta, GA 30909-4502
Phone (706) 447-1118

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040506001537 GA Part B Supplier - Clinic/Group Practice 4284623174 Receives reassigned benefits from 2 practitioners
Practice locations: Augusta, GA

National Provider Directory

National Provider Directory

Locations

1203 George C Wilson Dr
#B
Augusta, GA 30909
Phone (706) 447-1118

1203B George C Wilson Dr
Augusta, GA 30909
Phone (706) 434-8083

465 N Belair Rd
Ste 3A
Evans, GA 30809
Phone (706) 434-8275

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716163200000",
    "number": "1871650309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1203 GEORGE C WILSON DRIVE, SUITE B",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309094502",
            "telephone_number": "706-447-1118",
            "fax_number": "706-826-2775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1203 GEORGE C. WILSON DRIVE, SUITE B",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309094502",
            "telephone_number": "706-447-1118",
            "fax_number": "706-826-2775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGIA INTERNAL MEDICINE PARTNERS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-03",
        "last_updated": "2024-05-20",
        "certification_date": "2024-05-20",
        "status": "A",
        "authorized_official_last_name": "MILLEN",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "MD, OWNER",
        "authorized_official_telephone_number": "706-294-2570",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Augusta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2024; 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.