DR. BRUCE DUWAYNE SAMPSON (NPI# 1417008004) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417008004 |
| Entity Type | Individual |
| Full Name | DR. BRUCE DUWAYNE SAMPSON |
| Credential | MD |
| Practice Address |
1019 Keith Drive Suite A Perry GA 31069 |
| Practice Telephone | 4789872556 |
| Practice Fax Number | 4789873137 |
| Mailing Telephone | 4789872556 |
| Mailing Fax Number | 4789873137 |
| Enumeration Date | 2007-01-12 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 21276 | GA | Allopathic & Osteopathic Physicians |
| Street Address |
1019 KEITH DRIVE SUITE A |
| City | PERRY |
| State | GA |
| Zip Code | 31069 |
| 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 |
| 1699226001 | Middle Georgia Primary Care | Nurse Practitioner | 1115 Morningside Drive, Perry, GA 31069 | 2016-10-20 |
| 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 |
| 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 Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376932160 | Arthur Cherkinsky | Internal Medicine | 2201 Ellsworth Rd, Perry, MI 48872-8528 | 2015-01-15 |
| 1013352681 | Perry Internal Medicine, LLC | Internal Medicine | 1019 Keith Dr Ste B, Perry, GA 31069-4953 | 2013-05-08 |
| 1558681684 | Tallahassee Memorial Healthcare Inc | Internal Medicine | 555 North Byron Butler Parkway, Tmh Physician Partners, Perry, Perry, FL 32348-2315 | 2010-06-11 |
| 1215974100 | Joseph Stephen R Lomboy | Internal Medicine | 1018 Keith Dr, Suite A, Perry, GA 31069-2947 | 2006-06-01 |
| 1639123920 | Gerald K. Brantley | Internal Medicine | 1023 Keith Dr, Perry, GA 31069-2948 | 2006-05-20 |
| 1912951500 | Appavuchetty Soundappan | Internal Medicine | 1115 Morningside Dr, Perry, GA 31069-2905 | 2006-05-19 |
| 1225087406 | Karunaker Reddy Sripathi | Internal Medicine | 209 Wes Park Drive, Perry Primary Care, Perry, GA 31069 | 2006-05-08 |
| 1972005981 | Stillwater Medical Center Authority | Internal Medicine | 1318 Elm St, Perry, OK 73077-5034 | 2018-03-06 |
| 1326225723 | Jonathan Velasquez, Md, PC | Internal Medicine | 1118 Morningside Dr, Suite A, Perry, GA 31069-4948 | 2008-01-28 |
| 1184809824 | Doctors' Memorial Hospital | Internal Medicine | 1702 S Jefferson St, Perry, FL 32348-5611 | 2007-12-31 |
| Find all providers in PERRY | ||||
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| 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.