Organization Active NPI

Forrest J Doud, MD, PC

  • Pediatrics Physician
  • Social Circle, GA
National Provider Identifier
1922296847
Registry record updated Oct 4, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
024931 Issued in GA
Legal business name
FORREST J DOUD, MD, PC
Practice address
761 N Cherokee Rd
Suite B
Social Circle, GA 30025-2887
Phone
(678) 374-3746
NPI assigned
Oct 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2007

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

Authorized official

Name
Dr. Forrest J Doud, MDNPI 1639127392
Title
President
Phone
(678) 374-3746

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X 024931 GA Primary

Addresses

Primary practice location

761 N Cherokee Rd
Suite B
Social Circle, GA 30025-2887

Mailing address

761 N Cherokee Rd
Suite B
Social Circle, GA 30025-2887
Phone (678) 374-3746

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
11D1063615Forrest J Doud MD PC761 N Cherokee Road Suite B, Social Circle, GA 30025Provider-performed microscopyJan 17, 2027

National Provider Directory

National Provider Directory

Locations

761 N Cherokee Rd
Ste B
Social Circle, GA 30025
Phone (678) 374-3746

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.

NPI Registry JSON

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

{
    "created_epoch": "1191456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191456000000",
    "number": "1922296847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "761 N CHEROKEE RD",
            "address_2": "SUITE B",
            "city": "SOCIAL CIRCLE",
            "state": "GA",
            "postal_code": "300252887",
            "telephone_number": "678-374-3746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "761 N CHEROKEE RD",
            "address_2": "SUITE B",
            "city": "SOCIAL CIRCLE",
            "state": "GA",
            "postal_code": "300252887",
            "telephone_number": "678-374-3746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORREST J DOUD, MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-04",
        "last_updated": "2007-10-04",
        "status": "A",
        "authorized_official_last_name": "DOUD",
        "authorized_official_first_name": "FORREST",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "678-374-3746",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "GA",
            "license": "024931",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Social Circle, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.