SJ &J MEDICAL GROUP AND URGENT CARE NPI 1285064931

NPI Information

  • NPI: 1285064931
  • Provider Name: SJ &J MEDICAL GROUP AND URGENT CARE
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Organization
  • Address: 304 SMITH ST
    LAGRANGE, GA
    ZIP 30240
  • Phone: (706) 882-0382

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NPI Details

SJ &J MEDICAL GROUP AND URGENT CARE is a family nurse practitioner in Lagrange, GA. SJ &J MEDICAL GROUP AND URGENT CARE NPI is 1285064931. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

304 SMITH ST
LAGRANGE, GA
ZIP 30240-746
Phone: (706) 882-0382

The provider's authorized official is Christina Anderson .
The authorized official title is Nurse Practitioner/manager and has the following contact phone number (706) 593-7766.

The enumeration date for this NPI number is 11/16/2013 and was last updated on 11/16/2013.

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
1363LF0000XNurse PractitionerFamilyRN154861NPGEORGIAYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
120250I3642OTHERMEDICARE-PTAN

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: 3/30/2025

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