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ONE SOURCE VASCULAR
NPI 1386433258
Clinic/Center - Medical Specialty in Waycross, GA

Active since May 06, 2025
2003B ALICE ST, WAYCROSS, GA 31501(912) 490-9420(912) 514-9180 Get Directions Write a Review

NPPES record last updated: May 6, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About One Source Vascular NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ONE SOURCE VASCULAR (NPI 1386433258) is a healthcare organization registered as a medical specialty in Waycross, Georgia and active in the NPI registry since May 2025. The organization lists David P Murphy, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1386433258
Entity TypeOrganization
Primary Taxonomy261QM2500X
Legal Business NameONE SOURCE VASCULAR
Location Address2003B ALICE STWaycross, GA 31501-6209
Mailing Address501 W Oneida StWaycross, GA 31501-5337 · (912) 283-7596 · Fax (912) 283-1618
Phone(912) 490-9420
Fax(912) 514-9180
Organization SubpartYes
Authorized OfficialDavid P MurphyMedical Director · (912) 283-6471
Enumeration DateMay 6, 2025
NPPES CertifiedMay 6, 2025
✔ NPI 1386433258 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Medical SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM2500X
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
Also ListedSurgeryTaxonomy 208600000X
2003B ALICE ST, Waycross, GA 31501
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is One Source Vascular's NPI number?

The NPI number for One Source Vascular is 1386433258. It was assigned to this organization in the NPPES registry on May 6, 2025.

Where is One Source Vascular located?

One Source Vascular is located at 2003B Alice St, Waycross, GA 31501. The listed phone number is (912) 490-9420.

What is One Source Vascular's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.

When was this NPI record last updated?

The NPPES record for One Source Vascular was last updated on May 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.