Active NPI
Boris Velimirovich
- Student in an Organized Health Care Education/Training Program
- Macon, GA
National Provider Identifier
1962286419
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 350 Hospital Dr
Macon, GA 31217-3838 - Phone
- (478) 765-7000
- NPI assigned
- Aug 23, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Primary |
Addresses
Primary practice location
350 Hospital Dr
Macon, GA 31217-3838
Mailing address
155 Lakecrest Dr NE
Milledgeville, GA 31061-9093
Phone (478) 804-1288
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1692748800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1711756800000",
"number": "1962286419",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "155 LAKECREST DR NE",
"city": "MILLEDGEVILLE",
"state": "GA",
"postal_code": "310619093",
"telephone_number": "478-804-1288"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "350 HOSPITAL DR",
"city": "MACON",
"state": "GA",
"postal_code": "312173838",
"telephone_number": "478-765-7000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VELIMIROVICH",
"first_name": "BORIS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-08-23",
"last_updated": "2024-03-30",
"certification_date": "2024-03-30",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Macon, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.