NPIMap

Organization Active NPI

Crisp Regional Hospital

Doing business as Bailey & Boreland OBGYN

  • Obstetrics & Gynecology Physician
  • Cordele, GA
National Provider Identifier
1952747529
Registry record updated May 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
CRISP REGIONAL HOSPITAL
Doing business as
Bailey & Boreland OBGYN
Practice address
910 N 5TH St
Cordele, GA 31015-3254
Phone
(229) 276-3038
Fax
(229) 276-3631
NPI assigned
May 22, 2013
Last updated
May 22, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 22, 2013

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

Authorized official

Name
Mr. James Miller
Title
Director Physician Practices
Phone
(229) 271-4676

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X Primary

Addresses

Primary practice location

910 N 5TH St
Cordele, GA 31015-3254

Mailing address

910 N 5TH St
Cordele, GA 31015-3254
Phone (229) 276-3038

Other names 1

  • Bailey & Boreland OBGYN Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Surgical Associates22 organizations share this tax ID, including this one

Other organizations with this tax ID 21

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

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1369180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369180800000",
    "number": "1952747529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "910 N 5TH ST",
            "city": "CORDELE",
            "state": "GA",
            "postal_code": "310153254",
            "telephone_number": "229-276-3038",
            "fax_number": "229-276-3631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 N 5TH ST",
            "city": "CORDELE",
            "state": "GA",
            "postal_code": "310153254",
            "telephone_number": "229-276-3038",
            "fax_number": "229-276-3631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRISP REGIONAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-22",
        "last_updated": "2013-05-22",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "DIRECTOR PHYSICIAN PRACTICES",
        "authorized_official_telephone_number": "229-271-4676",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bailey & Boreland OBGYN",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cordele, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2013; 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.