Upson Medical Associates, LLC

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

Legal business name

UPSON MEDICAL ASSOCIATES, LLC

Practice address

100 Highway 18 W
Barnesville, GA 30204-1713

Phone

(770) 358-9596

Fax

(706) 647-4389

NPI assigned

Jun 16, 2011

Last updated

Jun 16, 2011By the provider in NPPES

Organization subpart

No

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

Addresses

Other identifiers 1

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

{
    "created_epoch": "1308182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308182400000",
    "number": "1881989044",
    "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": "100 HIGHWAY 18 W",
            "city": "BARNESVILLE",
            "state": "GA",
            "postal_code": "302041713",
            "telephone_number": "770-358-9596",
            "fax_number": "706-647-4389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UPSON MEDICAL ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-16",
        "last_updated": "2011-06-16",
        "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": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "GRP6006",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Victor Taylor, RPH
• David K.R. Thomson, M.D.
• Alice S Turner, RNC, WHNP
• Cynthia Ann Underwood, RN
• Upson County Hospital Inc. (Upson Family Physicians)
• Bianca Marina Veliz, RPH
• Bert Puckett Wall, M.D.
• Caroline Jones Warren
• Kristie Keyon Watts, FNP
• Kamryn Carden Westbury

• Diagnostic Radiology Physician in Barnesville, GA
• Providers in Barnesville, GA by specialty
• Diagnostic Radiology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2011; 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.