| NPI | 1033118906 |
|---|---|
| NPI Type | NPI-1 Individual |
| Status | Active |
| Enumeration Date | 2005-07-21 |
| Last Updated | 2007-07-09 |
| Mailing Address | 176 Memorial Dr Jesup, GA 31545-0101 United States Phone: (912) 427-9378 | Fax: (912) 427-9852 📍 View Map |
| Primary Practice Address | 176 Memorial Dr Jesup, GA 31545-0101 United States Phone: (912) 427-9378 | Fax: (912) 427-9852 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| MEDICAID | GA | 907725249A | — |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| Yes | 208000000X – Pediatrics | GA | 055740 |
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About NPI 1033118906
Daniel B Collipp D.O. is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1033118906. The primary specialty listed is Pediatrics. The provider is located in Jesup, GA. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2005-07-21. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1033118906?
NPI 1033118906 belongs to Daniel B Collipp D.O., a Pediatrics in Jesup, GA. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.
Is NPI 1033118906 active?
The current status of NPI 1033118906 in the NPPES registry is Active. The record was last updated on 2007-07-09.
What specialty is NPI 1033118906?
NPI 1033118906 is classified under the taxonomy Pediatrics. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1033118906?
You can verify NPI 1033118906 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1033118906?
The primary practice address on file for NPI 1033118906 is 176 Memorial Dr, Jesup, GA 31545-0101. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1033118906 issued?
NPI 1033118906 was first issued (enumerated) on 2005-07-21. The NPPES record was last updated on 2007-07-09.
Practice Location Map
Daniel B Collipp is located at 176 Memorial Dr, Jesup, GA. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Daniel B Collipp. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1033118906. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Pediatrics | 055740 | GA |