Organization Active NPI

Albany General Surgery P.C.

  • Surgery Physician
  • Albany, GA
National Provider Identifier
1952451585
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
52867 Issued in GA
Legal business name
ALBANY GENERAL SURGERY P.C.
Practice address
910 N Jefferson St
Suite B
Albany, GA 31701-2385
Phone
(229) 436-1830
NPI assigned
Jan 12, 2007
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
Mrs. Mandy Parks Wilkes
Title
Office Manager
Phone
(229) 436-1830

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X 52867 GA Primary

Addresses

Primary practice location

910 N Jefferson St
Suite B
Albany, GA 31701-2385

Mailing address

910 N Jefferson St
Suite B
Albany, GA 31701-2385
Phone (229) 436-1830

National Provider Directory

National Provider Directory

Locations

910 N Jefferson St
Ste B
Albany, GA 31701
Phone (229) 312-1022

NPI Registry JSON

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

{
    "created_epoch": "1168560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1952451585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "910 N JEFFERSON ST",
            "address_2": "SUITE B",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317012385",
            "telephone_number": "229-436-1830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 N JEFFERSON ST",
            "address_2": "SUITE B",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317012385",
            "telephone_number": "229-436-1830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALBANY GENERAL SURGERY P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WILKES",
        "authorized_official_first_name": "MANDY",
        "authorized_official_middle_name": "PARKS",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "229-436-1830",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "GA",
            "license": "52867",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, 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.