DMC PHYSICIAN GROUP LLC NPI 1124430020

NPI Information

  • NPI: 1124430020
  • Provider Name: DMC PHYSICIAN GROUP LLC
  • Classification: Clinic/Center - 261QM1300X
  • Specialization: Multi-Specialty
  • Entity Type: Organization
  • Address: 200 PERRY HOUSE RD
    FITZGERALD, GA
    ZIP 31750
  • Phone: (229) 424-7260

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NPI Details

DMC PHYSICIAN GROUP LLC is a multi-specialty clinic center in Fitzgerald, GA. DMC PHYSICIAN GROUP LLC NPI is 1124430020. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

200 PERRY HOUSE RD
FITZGERALD, GA
ZIP 31750-857
Phone: (229) 424-7260

The provider's authorized official is Paige Wynn .
The authorized official title is Interim Ceo and has the following contact phone number (478) 289-1376.

The enumeration date for this NPI number is 5/27/2014 and was last updated on 5/19/2025.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208600000XSurgeryNo
2207Q00000XFamily MedicineNo
3207R00000XInternal MedicineNo
4208M00000XHospitalistNo
5261QR1300XClinic/CenterRural HealthNo
6273R00000XPsychiatric UnitNo
7282NR1301XGeneral Acute Care HospitalRuralNo
8367500000XNurse Anesthetist, Certified RegisteredNo
9261QM1300XClinic/CenterMulti-SpecialtyYes

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: 11/21/2025

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