Oconee Internal Medicine, LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

OCONEE INTERNAL MEDICINE, LLC

Practice address

641 W Thomas St
Milledgeville, GA 31061-2337

Phone

(478) 453-0662

Fax

(478) 452-8067

NPI assigned

Aug 25, 2014

Organization subpart

Yes

Parent organization

OCONEE REGIONAL HEALTH VENTURES, INCAs reported in NPPES

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

Authorized official

Name

Janelyn F Gaston

Title

Administrator

Phone

(706) 468-4519

Specialties & licenses 1

Addresses

Part of

Oconee Neurology Services

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Oconee Regional Health Ventures, Inc

  • Internal Medicine Physician
  • Milledgeville, GA
  • NPI 1598832602
  NPPES parent name

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• John Wesley King Jr., M.D.

  • Pulmonary Disease Physician
  • Macon, GA
  • NPI 1669465860
  NPD
• Charles Brinson Shiver III, M.D.

  • Internal Medicine Physician
  • Milledgeville, GA
  • NPI 1376574905

  Internal Medicine

  NPD

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

{
    "created_epoch": "1408924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1408924800000",
    "number": "1962802108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "641 W THOMAS ST",
            "city": "MILLEDGEVILLE",
            "state": "GA",
            "postal_code": "310612337",
            "telephone_number": "478-453-0662",
            "fax_number": "478-452-8067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "641 W THOMAS ST",
            "city": "MILLEDGEVILLE",
            "state": "GA",
            "postal_code": "310612337",
            "telephone_number": "478-453-0662",
            "fax_number": "478-452-8067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCONEE INTERNAL MEDICINE, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "OCONEE REGIONAL HEALTH VENTURES, INC",
        "enumeration_date": "2014-08-25",
        "last_updated": "2014-08-25",
        "status": "A",
        "authorized_official_last_name": "GASTON",
        "authorized_official_first_name": "JANELYN",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "706-468-4519"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Oconee Community Service Board
• Oconee Community Service Board
• Oconee Community Service Board
• Oconee ENT and Cosmetic Surgery Center
• Oconee Family Medicine Center, PC
• Oconee Neurology, LLC
• Oconee Orthopedics LLC
• Oconee Pathology Associates, P.C.
• Oconee Primary Care Center, LLC
• Oconee Radiology Associates

• Internal Medicine Physician in Milledgeville, GA
• Providers in Milledgeville, GA by specialty
• Internal Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2014; 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.