Individual provider Active NPI

Reginald Duane Osbon, MD

  • Diagnostic Radiology Physician
  • Macon, GA
National Provider Identifier
1912997883
Registry record updated Jul 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
032009 Issued in GA
Practice address
770 Pine St Ste 290
Attn: Radiology Department
Macon, GA 31201-7516
Phone
(478) 743-1458
Fax
(478) 755-1332
NPI assigned
Oct 24, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 032009 GA Primary

Addresses

Primary practice location

770 Pine St Ste 290
Attn: Radiology Department
Macon, GA 31201-7516

Mailing address

770 Pine St Ste 290
Attn: Radiology Department
Macon, GA 31201-7516
Phone (478) 743-1458

Other identifiers 1

IdentifierTypeStateIssuer
000432319FMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Internal Medicine Associates, P.C. CurrentSince Jul 7, 2014 Accepting new patients

Locations

777 Hemlock St
Macon, GA 31201
Phone (478) 474-5600

330 Hospital Dr
Ste 200
Macon, GA 31217
Phone (478) 745-1191

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EBBAAA

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1130112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404345600000",
    "number": "1912997883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "770 PINE ST STE 290",
            "address_2": "ATTN: RADIOLOGY DEPARTMENT",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312017516",
            "telephone_number": "478-743-1458",
            "fax_number": "478-755-1332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "770 PINE ST STE 290",
            "address_2": "ATTN: RADIOLOGY DEPARTMENT",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312017516",
            "telephone_number": "478-743-1458",
            "fax_number": "478-755-1332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSBON",
        "first_name": "REGINALD",
        "middle_name": "DUANE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-24",
        "last_updated": "2014-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "GA",
            "license": "032009",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000432319F",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Macon, GA

Sources for this page

Verify at the official NPI Registry.