Active NPI
Thomasville Orthopedic Center, PC
- Orthopaedic Surgery Physician
- Thomasville, GA
National Provider Identifier
1902864754
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- Legal business name
- THOMASVILLE ORTHOPEDIC CENTER, PC
- Practice address
- 100 Mimosa Dr
Thomasville, GA 31792 - Phone
- (229) 226-9141
- Fax
- (229) 228-0637
- NPI assigned
- May 2, 2006
- 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
- Frederick R Nusbickel, MD
- Title
- President
- Phone
- (229) 226-9144
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | Primary |
Addresses
Primary practice location
100 Mimosa Dr
Thomasville, GA 31792
Mailing address
PO Box 2968
Thomasville, GA 31799-2968
Phone (229) 226-9141
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CB2303 | Other | GA | RAIL ROAD MEDICARE |
| 0832790001 | Other | GA | DMERC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
100 Mimosa Dr
Ste 1R
Thomasville, GA 31792
Phone (229) 226-9141
Practitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Tifton, GA
- NPI 1841617602
-
- Orthopaedic Surgery Physician
- Thomasville, GA
- NPI 1114990215
-
- Orthopaedic Surgery Physician
- Thomasville, GA
- NPI 1538131412
-
- Physician Assistant
- Ochlocknee, GA
- NPI 1568469518
-
- Surgical Physician Assistant
- Lander, WY
- NPI 1811099450
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146528000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1202342400000",
"number": "1902864754",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2968",
"city": "THOMASVILLE",
"state": "GA",
"postal_code": "317992968",
"telephone_number": "229-226-9141",
"fax_number": "229-228-0637"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 MIMOSA DR",
"city": "THOMASVILLE",
"state": "GA",
"postal_code": "31792",
"telephone_number": "229-226-9141",
"fax_number": "229-228-0637"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THOMASVILLE ORTHOPEDIC CENTER, PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-02",
"last_updated": "2008-02-07",
"status": "A",
"authorized_official_last_name": "NUSBICKEL",
"authorized_official_first_name": "FREDERICK",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "229-226-9144",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Orthopaedic Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAIL ROAD MEDICARE",
"identifier": "CB2303",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DMERC",
"identifier": "0832790001",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Thomasville, GA
- Thomasville I Enterprises, LLC
- Thomasville Obstetrics and Gynecology, P.C.
- Thomasville Operating Company LLC
- Thomasville Operations LLC
- Thomasville Orthodontics
- Thomasville Pediatric Dentistry
- Thomasville Pharmacy Services Inc
- Thomasville Pharmacy Services Inc
- Thomasville Physical Therapy Inc
- Thomasville Primary Care
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2008; 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.