Waycross Family Practice

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

WAYCROSS FAMILY PRACTICE

Practice address

1507 Alice St
Waycross, GA 31501-4530

Phone

(912) 283-7220

Fax

(912) 283-7026

NPI assigned

Apr 27, 2006

Organization subpart

No

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

Authorized official

Name

Sharon Johnson

Title

Office MGR

Phone

(912) 283-7220

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Donald Richard Lynch, M.D.

  • Family Medicine Physician
  • Waycross, GA
  • NPI 1992762009
  NPD
• David J Walters, M.D.

  • Family Medicine Physician
  • Waycross, GA
  • NPI 1114985231
  NPD

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

{
    "created_epoch": "1146096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357516800000",
    "number": "1891752473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1507 ALICE ST",
            "city": "WAYCROSS",
            "state": "GA",
            "postal_code": "315014530",
            "telephone_number": "912-283-7220",
            "fax_number": "912-283-7026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1507 ALICE ST",
            "city": "WAYCROSS",
            "state": "GA",
            "postal_code": "315014530",
            "telephone_number": "912-283-7220",
            "fax_number": "912-283-7026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAYCROSS FAMILY PRACTICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-27",
        "last_updated": "2013-01-07",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "SHARON",
        "authorized_official_title_or_position": "OFFICE MGR",
        "authorized_official_telephone_number": "912-283-7220"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CB0726",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Richard Watson, PHARMD
• Stephanie Hickman Watson, PHARMD
• Waycross Dialysis Facility, Inc
• Waycross Dialysis LLC
• Waycross Family Pharmacy
• Waycross Orthopaedics, P.C.
• Waycross Urology Clinic PC
• Kelly Beth Weber, M.ED., CCC-SLP
• Antwonette Miriam Weston
• Iona Virginia Weston

• Family Medicine Physician in Waycross, GA
• Providers in Waycross, GA by specialty
• Family Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 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.