Poplar Physicians, LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

POPLAR PHYSICIANS, LLC

Practice address

446 Poplar St
Suite B
Macon, GA 31201-3336

Phone

(478) 746-1218

Fax

(478) 750-9594

NPI assigned

Dec 28, 2006

Last updated

Sep 2, 2008By 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

Mr. Johnny D Sheppard, BS

Title

Administrator

Phone

(478) 746-1218

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

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.

• Alan D Justice, M.D.

  • Internal Medicine Physician
  • Macon, GA
  • NPI 1114955572
  NPD
• John David Wilkinson, M.D.

  • Internal Medicine Physician
  • Edmond, OK
  • NPI 1730234501
  NPD (past)

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

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1220313600000",
    "number": "1902962855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "446 POPLAR ST",
            "address_2": "SUITE B",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312013336",
            "telephone_number": "478-746-1218",
            "fax_number": "478-750-9594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "446 POPLAR ST",
            "address_2": "SUITE B",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312013336",
            "telephone_number": "478-746-1218",
            "fax_number": "478-750-9594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POPLAR PHYSICIANS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-28",
        "last_updated": "2008-09-02",
        "status": "A",
        "authorized_official_last_name": "SHEPPARD",
        "authorized_official_first_name": "JOHNNY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "478-746-1218",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "BS"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CE0448",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brooke Poole, MD
• Cynthia Poole
• James Terrell Pope, MD
• Samantha Pope
• Wood D Pope, M.D.
• Porter Field Health & Rehab Center LLC
• Porter Field Health & Rehab Center LLC (Hartley Woods Health & Rehab)
• Alexandra H Porter, NP
• Melanie Latrice Porter, D.D.S.
• Harry Jacob Portman

• Internal Medicine Physician in Macon, GA
• Providers in Macon, GA by specialty
• Internal Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2008; 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.