ARCHBOLD MEDICAL GROUP - NPI 1508132887 - General Practice in Thomasville, GA

Q: What is Archbold Medical Group, Inc.'s NPI number?

The NPI number for Archbold Medical Group, Inc. is 1508132887. It was assigned to this organization in the NPPES registry on March 30, 2012.

Q: What is Archbold Medical Group, Inc.'s specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

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About Archbold Medical Group NPPES

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

ARCHBOLD MEDICAL GROUP (NPI 1508132887) is a healthcare organization registered as a general practice in Thomasville, Georgia and active in the NPI registry since March 2012. The organization holds a CLIA Microscopy certificate valid through January 5, 2027 and lists Charles D Hightower, Senior Vp/cfo, as its authorized official.

NPPES Registry Identity

NPI1508132887

Entity TypeOrganization

Primary Taxonomy208D00000X

Legal Business NameARCHBOLD MEDICAL GROUP, INC.

Location Address2621 E PINETREE BLVDThomasville, GA 31792-4840

Mailing Address900 Cairo RdThomasville, GA 31792-4255

Phone(229) 226-5788

Fax(229) 226-2548

Organization SubpartNo

Authorized OfficialCharles D HightowerSenior Vp/cfo · (229) 228-2853

Enumeration DateMarch 30, 2012

Last NPPES UpdateJuly 2, 2014

✔ NPI 1508132887 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians

Taxonomy Code208D00000X

Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

2621 E PINETREE BLVD, Thomasville, GA 31792

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Other Names 1

Doing Business AsArchbold Medical Group

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 11D0700472

Archbold Primary Care · Thomasville, GA

Active · expires Jan 5, 2027

CLIA Number11D0700472

Laboratory TypePhysician Office

Certificate Effective DateJanuary 6, 2025

Certificate Expiration DateJanuary 5, 2027

Laboratory DirectorDr. Jason E. Griffin

Laboratory Phone(229) 226-5788

Laboratory LocationArchbold Primary Care2621 E Pinetree Blvd, Thomasville, GA 31792

CLIA data matches this NPI record on: Address Phone

This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SADIE H BURKE

Nurse Practitioner (Family)