# PHOEBE PHYSICIAN GROUP, INC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Parent organization:** PHOEBE PHYSICIAN GROUP, INC
- **Other names:** Phoebe Electrophysiology
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1255794541
- **Legal business name:** PHOEBE PHYSICIAN GROUP, INC
- **Authorized official:** JEFF HEAD (CFO)
- **Authorized official phone:** (229) 312-6721

## Contact information

- **Practice address:** 425 W 3RD AVE STE 700, ALBANY, GA 31701-1969
- **Practice address phone:** (229) 312-7790
- **Practice address fax:** (229) 312-7795
- **Mailing address:** 500 W 3RD AVE, STE 101, ALBANY, GA 31701-1985
- **Mailing address phone:** (229) 312-5800

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RC0000X | Cardiovascular Disease Physician | 059422 | GA | — |
| 207RC0001X | Clinical Cardiac Electrophysiology Physician | 059422 | GA | Yes |

## Other

- **Enumeration date:** 04/04/2016
- **Last updated:** 04/04/2016