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ATHENS REGIONAL SPECIALTY SERVICES NPI 1083939136


NPI Information

NPI: 1083939136
Provider Name: ATHENS REGIONAL SPECIALTY SERVICES
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
1500 OGLETHORPE AVE
STE 600A
ATHENS, GA
ZIP 30606
Phone: (706) 475-4920
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ATHENS REGIONAL SPECIALTY SERVICES is a family medicine in Athens, GA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. ATHENS REGIONAL SPECIALTY SERVICES NPI is 1083939136. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1500 OGLETHORPE AVE
STE 600A
ATHENS, GA
ZIP 30606-179
Phone: (706) 475-4920
Fax: (706) 208-8259

The provider's authorized official is Shelley Ransford-des Jardines .
The authorized official title is Administrative Director and has the following contact phone number (706) 475-4920.

The enumeration date for this NPI number is 4/1/2010 and was last updated on 1/14/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1204R00000XElectrodiagnostic MedicineNo
2207RC0000XInternal MedicineCardiovascular DiseaseNo
3207RC0001XInternal MedicineClinical Cardiac ElectrophysiologyNo
4207RG0100XInternal MedicineGastroenterologyNo
5207RI0011XInternal MedicineInterventional CardiologyNo
6207V00000XObstetrics & GynecologyNo
7208000000XPediatricsNo
8208600000XSurgeryNo
9208C00000XColon & Rectal SurgeryNo
10208M00000XHospitalistNo
112084P0800XPsychiatry & NeurologyPsychiatryNo
12207Q00000XFamily MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1202G704712MEDICARE PINGEORGIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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