NPIMap

Organization Active NPI

William C Byrd of Turner Inc

Doing business as Golden South

  • Assisted Living Facility
  • Sycamore, GA
National Provider Identifier
1902964935
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
WILLIAM C BYRD OF TURNER INC
Doing business as
Golden South
Practice address
705 Denham Road
Sycamore, GA 31790
Phone
(229) 567-4273
Fax
(229) 567-2138
NPI assigned
Dec 4, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
William C Byrd
Title
Owner President
Phone
(229) 382-8655

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X GA Primary

Addresses

Primary practice location

705 Denham Road
Sycamore, GA 31790

Mailing address

PO Box 890
Tifton, GA 31793
Phone (229) 382-8655

Other identifiers 1

IdentifierTypeStateIssuer
00768248DMedicaidGA

Other names 1

  • Golden South Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Golden South4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1902964935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 890",
            "city": "TIFTON",
            "state": "GA",
            "postal_code": "31793",
            "telephone_number": "229-382-8655",
            "fax_number": "229-382-7011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 DENHAM ROAD",
            "city": "SYCAMORE",
            "state": "GA",
            "postal_code": "31790",
            "telephone_number": "229-567-4273",
            "fax_number": "229-567-2138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM C BYRD OF TURNER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BYRD",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER PRESIDENT",
        "authorized_official_telephone_number": "229-382-8655"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00768248D",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Golden South",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sycamore, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.