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COLONY MEDICAL ASSOCIATES PC NPI 1942312319


NPI Information

NPI: 1942312319
Provider Name: COLONY MEDICAL ASSOCIATES PC
Classification: Specialist - 174400000X
Entity Type: Organization
Address:
110 NORMAN DORMINY DR
SUITE B
FITZGERALD, GA
ZIP 31750
Phone: (229) 423-2058
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COLONY MEDICAL ASSOCIATES PC is a specialist in Fitzgerald, GA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. COLONY MEDICAL ASSOCIATES PC NPI is 1942312319. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

110 NORMAN DORMINY DR
SUITE B
FITZGERALD, GA
ZIP 31750-858
Phone: (229) 423-2058
Fax: (229) 423-0197

The provider's authorized official is Myra D Griffin .
The authorized official title is Office Manager and has the following contact phone number (229) 423-2058.

The enumeration date for this NPI number is 8/31/2006 and was last updated on 1/29/2014.


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
1174400000XSpecialist056020GEORGIANo
2174400000XSpecialist053043GEORGIANo
3363LF0000XNurse PractitionerFamilyRN101986GEORGIANo
4174400000XSpecialist33123GEORGIAYes

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
1Q03884MEDICARE UPINGEORGIA
200427798AMEDICAIDGEORGIA
350BBKJPOTHERGEORGIAMEDICARE
4P00232517OTHERGEORGIARAILROAD MEDICARE
5500002323OTHERGEORGIARAILROAD MEDICARE
6C72449MEDICARE UPINGEORGIA
7CB5821OTHERGEORGIARAILROAD MEDICARE GROUP
808BDBZBMEDICARE ID-TYPE UNSPECIFIEDGEORGIA

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.