Organization Active NPI

Juanita Y Lott MD PC

  • Family Medicine Physician
  • Brunswick, GA
National Provider Identifier
1962684001
Registry record updated Nov 30, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
JUANITA Y LOTT MD PC
Practice address
418 Eh CT
Brunswick, GA 31520-2199
Phone
(912) 265-5035
Fax
(912) 265-1431
NPI assigned
Nov 30, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2007

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

Authorized official

Name
Juanit Y Lott
Title
President
Phone
(912) 265-5035

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

418 Eh CT
Brunswick, GA 31520-2199

Mailing address

418 Eh CT
Brunswick, GA 31520-2199
Phone (912) 265-5035

National Provider Directory

National Provider Directory

Locations

118 Northpark Dr
Brunswick, GA 31520
Phone (912) 265-5035

418 Eh Ct
Brunswick, GA 31520
Phone (912) 265-5035

NPI Registry JSON

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

{
    "created_epoch": "1196380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196380800000",
    "number": "1962684001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "418 EH CT",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315202199",
            "telephone_number": "912-265-5035",
            "fax_number": "912-265-1431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "418 EH CT",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315202199",
            "telephone_number": "912-265-5035",
            "fax_number": "912-265-1431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUANITA Y LOTT MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-30",
        "last_updated": "2007-11-30",
        "status": "A",
        "authorized_official_last_name": "LOTT",
        "authorized_official_first_name": "JUANIT",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "912-265-5035"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brunswick, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2007; 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.