Active NPI
Waycross Urology Clinic PC
- Urology Physician
- Waycross, GA
National Provider Identifier
1902881378
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- Legal business name
- WAYCROSS UROLOGY CLINIC PC
- Practice address
- 1306 Alice St
Waycross, GA 31501-4527 - Phone
- (912) 283-7951
- Fax
- (912) 285-7922
- NPI assigned
- Dec 8, 2005
- 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
- Tiffany N Strickland
- Title
- Corporation Secretary
- Phone
- (912) 283-7951
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | Primary |
Addresses
Primary practice location
1306 Alice St
Waycross, GA 31501-4527
Mailing address
PO Box 2007
Waycross, GA 31502-2007
Phone (912) 283-7951
National Provider Directory
National Provider DirectoryInteroperability endpoints
- https://app.meldrx.com/api/fhir/uc07000_waycrossurologyclinic
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Urology Physician
- Waycross, GA
- NPI 1104801950
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134000000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1387756800000",
"number": "1902881378",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2007",
"city": "WAYCROSS",
"state": "GA",
"postal_code": "315022007",
"telephone_number": "912-283-7951",
"fax_number": "912-285-7922"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1306 ALICE ST",
"city": "WAYCROSS",
"state": "GA",
"postal_code": "315014527",
"telephone_number": "912-283-7951",
"fax_number": "912-285-7922"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WAYCROSS UROLOGY CLINIC PC",
"organizational_subpart": "NO",
"enumeration_date": "2005-12-08",
"last_updated": "2013-12-23",
"status": "A",
"authorized_official_last_name": "STRICKLAND",
"authorized_official_first_name": "TIFFANY",
"authorized_official_middle_name": "N",
"authorized_official_title_or_position": "CORPORATION SECRETARY",
"authorized_official_telephone_number": "912-283-7951"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Urology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Waycross, GA
- Waycross Dialysis Facility, Inc
- Waycross Dialysis LLC (Waycross Dialysis)
- Waycross Family Pharmacy (Rivers and Associates LLC)
- Waycross Family Practice
- Waycross Orthopaedics, P.C.
- Kelly Beth Weber, M.ED., CCC-SLP
- Antwonette Miriam Weston
- Iona Virginia Weston
- Benjamin Randolph Wheeler, R.PH.
- George A Wheeler, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 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.