MIDDLE GEORGIA PRIMARY CARE


Address: 1115 Morningside Drive, Perry, GA 31069
Phone: 4789883060

MIDDLE GEORGIA PRIMARY CARE (NPI# 1699226001) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1699226001
Entity Type Organization
Organization Name MIDDLE GEORGIA PRIMARY CARE
Practice Address 1115 Morningside Drive
Perry
GA 31069
Mailing Address 2350 Houston Lake Road
Apt 1602
Kathleen
GA 31047
Practice Telephone 4789883060
Mailing Telephone 4789553722
Enumeration Date 2016-10-20
Last Update Date 2016-10-20
Authorized Official Name APPAVUCHETTY SOUNDAPPAN (DOCTOR)
Authorized Official Telephone 4789883060
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
215936 GA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 1115 MORNINGSIDE DRIVE
City PERRY
State GA
Zip Code 31069

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1386114924 Rebecca Lyn Parker Pharmacist 302 Walton Chase, Perry, GA 31069 2018-11-27
1437637568 Joshua Thomas Guley Dentist 2161 Houston Lake Road Hwy 127, Perry, GA 31069 2018-07-31
1043755531 Otha Everett Counselor 733-b Carroll Street, Perry, GA 31069 2016-12-20
1639535628 Holly Lavender Nurse Practitioner 1016 Keith Dr, Perry, GA 31069 2016-01-07
1598049918 Spencer D Shugart Physical Therapist 1202 Macon Rd, Perry, GA 31069 2011-10-04
1154638518 Middle Georgia Anesthesiology, LLC Nurse Anesthetist, Certified Registered 1040 Morningside Drive, Perry, GA 31069 2010-09-07
1922203686 Sarah Pearson Velasquez Nurse Practitioner 1024 Keith Drive, Perry, GA 31069 2007-06-20
1417008004 Bruce Duwayne Sampson Internal Medicine 1019 Keith Drive, Suite A, Perry, GA 31069 2007-01-12
1104839125 Harold Brian Gillis Chiropractor 1207 Main Street Suite C, Perry, GA 31069 2006-08-14
1225087406 Karunaker Reddy Sripathi Internal Medicine 209 Wes Park Drive, Perry Primary Care, Perry, GA 31069 2006-05-08
Find all providers in zip 31069

Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1093209835 Alyssa Megan Taylor Nurse Practitioner 277 Perry Pkwy Ste C, Perry, GA 31069-8428 2018-06-15
1639535628 Holly Lavender Nurse Practitioner 1016 Keith Dr, Perry, GA 31069 2016-01-07
1093197667 Dulcie Yelverton Nurse Practitioner 1762 Morgan Whiddon Rd, Perry, FL 32347-2145 2015-06-19
1215125372 Plainsmen Health Services Inc. Nurse Practitioner 14000 23rd St, Suite 1a, Perry, KS 66073-4046 2007-10-12
1083652259 Nunnie Emery Nurse Practitioner 402 E Ash St, Perry, FL 32347-2105 2006-06-02
1609413731 Ashlee Marie Morman Nurse Practitioner 616 10th St, Perry, IA 50220-2221 2019-12-09
1134761125 Sarah Coxwell Harris Nurse Practitioner 1016 Keith Dr, Perry, GA 31069-2947 2019-10-11
1467013466 Macy Ely Nurse Practitioner 1215 N Peacock Ave, Perry, FL 32347-2117 2019-06-21
1811456189 Kristen Taylor Bland Nurse Practitioner 100 Plantation Rd, Perry, FL 32348-6000 2019-03-17
1124585880 Krista Lauren Keen Nurse Practitioner 277 Perry Pkwy Ste C, Perry, GA 31069-8428 2019-02-28
Find all providers in PERRY

Competitor

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City PERRY
Zip Code 31069

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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