DOCTORS OF COMPASSIONATE SERVICES NPI 1821378076

NPI Information

  • NPI: 1821378076
  • Provider Name: DOCTORS OF COMPASSIONATE SERVICES
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • CLIA Number: 11D1065136
  • Address: 277 LACKAWANNA ST
    BAXLEY, GA
    ZIP 31513
  • Phone: (912) 366-1362

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NPI Details

DOCTORS OF COMPASSIONATE SERVICES is a family medicine in Baxley, 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. DOCTORS OF COMPASSIONATE SERVICES NPI is 1821378076. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

277 LACKAWANNA ST
BAXLEY, GA
ZIP 31513
Phone: (912) 366-1362
Fax: (912) 366-1365

The provider's authorized official is Patrick Julian Fordham .
The authorized official title is Vp and has the following contact phone number (912) 366-1362.

The CLIA number assigned to this NPI record is 11D1065136 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 8/19/2011 and was last updated on 8/19/2011.

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
1207Q00000XFamily Medicine049292GEORGIAYes

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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