NPIMap

Organization Active NPI

Archbold Medical Group, Inc.

  • Pulmonary Disease Physician
  • Thomasville, GA
National Provider Identifier
1972097293
Registry record updated Jun 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
Legal business name
ARCHBOLD MEDICAL GROUP, INC.
Practice address
2705 E Pinetree Blvd Ste C
Thomasville, GA 31792-4875
Phone
(229) 584-5731
NPI assigned
Jun 20, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2018

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

Authorized official

Name
Grady Ramsey
Title
VP
Phone
(229) 227-5102

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RP1001X Primary

Addresses

Primary practice location

2705 E Pinetree Blvd Ste C
Thomasville, GA 31792-4875

Mailing address

900 Cairo Rd
Thomasville, GA 31792-4255

Other names 1

  • ARCHBOLD PULMONARY MEDICINE & CRITICAL CARE SERVICES Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081001000632 GA Part B Supplier - Clinic/Group Practice 8123196383 Receives reassigned benefits from 103 practitioners
4 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Thomasville, GA; Whigham, GA; Bainbridge, GA; Cairo, GA; Camilla, GA; Moultrie, GA; Pelham, GA; Quitman, GA

Other NPIs on the same Medicare enrollment 4

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Archbold Medical Group Inc14 organizations share this tax ID, including this one

Other organizations with this tax ID 13

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

View all 13

Member organizations 2

Organizations listed as members of this organization in the National Provider Directory.

  • Amgir, Inc.
    • Vascular & Interventional Radiology Physician
    • Thomasville, GA
    • NPI 1538693197

    Member Of

    NPD member
  • CCSG, Inc.
    • Cardiovascular Disease Physician
    • Thomasville, GA
    • NPI 1295120145

    Member Of

    NPD member

Locations

2625 Capital Medical Blvd
Tallahassee, FL 32308
Phone (850) 656-5000

1180 5th St SE
Cairo, GA 39828
Phone (229) 377-2002

116 Mimosa Dr
Thomasville, GA 31792
Phone (229) 551-0083

100 Mimosa Dr
Ste 1M
Thomasville, GA 31792
Phone (229) 584-5640

947 S Broad St
Thomasville, GA 31792
Phone (229) 228-3731

915 Gordon Ave
Thomasville, GA 31792
Phone (229) 228-8575

201 Old Albany Rd
Thomasville, GA 31792
Phone (229) 226-5931

423 Covington Ave
Thomasville, GA 31792
Phone (229) 226-6074

300 W Jackson St
Thomasville, GA 31792
Phone (229) 228-1252

2621 E Pinetree Blvd
Thomasville, GA 31792
Phone (229) 226-5788

Practitioners & affiliated clinicians

Practitioners 86

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

View all 86

NPI Registry JSON

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

{
    "created_epoch": "1529452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529452800000",
    "number": "1972097293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 CAIRO RD",
            "city": "THOMASVILLE",
            "state": "GA",
            "postal_code": "317924255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2705 E PINETREE BLVD STE C",
            "city": "THOMASVILLE",
            "state": "GA",
            "postal_code": "317924875",
            "telephone_number": "229-584-5731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARCHBOLD MEDICAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-20",
        "last_updated": "2018-06-20",
        "status": "A",
        "authorized_official_last_name": "RAMSEY",
        "authorized_official_first_name": "GRADY",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "229-227-5102"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ARCHBOLD PULMONARY MEDICINE & CRITICAL CARE SERVICES",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ARCHBOLD PULMONARY MEDICINE & CRITICAL CARE SERVICES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Thomasville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.