Taylor Telfair Regional Hosp-Physician Office

Primary specialty

ContractorTaxonomy code 171W00000X

License

037111 Issued in GA

Legal business name

TAYLOR TELFAIR REGIONAL HOSP-PHYSICIAN OFFICE

Practice address

RT One, Hwy 341S, Suite a
McRae, GA 31055-0150

Phone

(229) 868-4122

Fax

(229) 868-4124

NPI assigned

Mar 30, 2007

Last updated

Aug 22, 2020By 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

Ms. Angie Harris

Title

Business MGR

Phone

(229) 868-4147

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1175212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1952421067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "RT ONE, HWY 341S, SUITE A",
            "city": "MCRAE",
            "state": "GA",
            "postal_code": "310550150",
            "telephone_number": "229-868-4122",
            "fax_number": "229-868-4124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "RT ONE, HWY 341S, SUITE A",
            "city": "MCRAE",
            "state": "GA",
            "postal_code": "310550150",
            "telephone_number": "229-868-4122",
            "fax_number": "229-868-4124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAYLOR TELFAIR REGIONAL HOSP-PHYSICIAN OFFICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "ANGIE",
        "authorized_official_title_or_position": "BUSINESS MGR",
        "authorized_official_telephone_number": "229-868-4147",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": "GA",
            "license": "037111",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Smith's Pharmacy of McRae, L.L.C. (Smith's Pharmacy)
• Waylon Spires
• Heather J Spivey, FNP-C
• Tiffany Waters Spurlin, MED CCC-SLP
• Taylor Telfair Regional Hosp-Physician Office
• Taylor Telfair Regional Hospital, Inc (Telfair Regional Hospital)
• Taylor Telfair Regional Hospital, Inc (Telfair Regional Hospital)
• Telfair County Board of Education
• Telfair County Commissioner of Roads & Revenues (Telfair County EMS)
• Telfair County EMS

• Contractor in McRae, GA
• Providers in McRae, GA by specialty
• Contractor in Georgia

• 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.