NPIMap

Organization Active NPI

Houston Physician Specialists, LLC

  • Endocrinology, Diabetes & Metabolism Physician
  • Warner Robins, GA
National Provider Identifier
1992238935
Registry record updated Apr 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
Legal business name
HOUSTON PHYSICIAN SPECIALISTS, LLC
Practice address
233 N Houston Rd
Ste 101
Warner Robins, GA 31093-3074
Phone
(478) 352-7010
Fax
(478) 352-7019
NPI assigned
Apr 6, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2017

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

Authorized official

Name
Sean Whilden
Title
Cfo
Phone
(478) 542-7959

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RE0101X Primary
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X

Addresses

Primary practice location

233 N Houston Rd
Ste 101
Warner Robins, GA 31093-3074

Mailing address

233 N Houston Rd
Ste. 101
Warner Robins, GA 31093-3074
Phone (478) 352-7010

Other names 1

  • Houston Diabetes & Endocrine Associates Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170413001281 GA Part B Supplier - Clinic/Group Practice 6800172461 Receives reassigned benefits from 8 practitioners
8 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Bonaire, GA; Warner Robins, GA

Other NPIs on the same Medicare enrollment 8

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

National Provider Directory

National Provider Directory

Locations

233 N Houston Rd
Ste 140E
Warner Robins, GA 31093
Phone (478) 975-6880

233 N Houston Rd
Ste 101
Warner Robins, GA 31093
Phone (478) 352-7010

NPI Registry JSON

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

{
    "created_epoch": "1491436800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491523200000",
    "number": "1992238935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "233 N HOUSTON RD",
            "address_2": "STE. 101",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310933074",
            "telephone_number": "478-352-7010",
            "fax_number": "478-352-7019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "233 N HOUSTON RD",
            "address_2": "STE 101",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310933074",
            "telephone_number": "478-352-7010",
            "fax_number": "478-352-7019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOUSTON PHYSICIAN SPECIALISTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-06",
        "last_updated": "2017-04-07",
        "status": "A",
        "authorized_official_last_name": "WHILDEN",
        "authorized_official_first_name": "SEAN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "478-542-7959"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Houston Diabetes & Endocrine Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Warner Robins, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2017; 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.