Provider Demographics
NPI:1104910488
Name:DOWNS, JOSEPH ROGERS III (MD)
Entity type:Individual
Prefix:
First Name:JOSEPH
Middle Name:ROGERS
Last Name:DOWNS
Suffix:III
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 2145
Mailing Address - Street 2:
Mailing Address - City:OPELIKA
Mailing Address - State:AL
Mailing Address - Zip Code:36803-2145
Mailing Address - Country:US
Mailing Address - Phone:334-321-3700
Mailing Address - Fax:334-887-7475
Practice Address - Street 1:121 N 20TH ST STE 20B
Practice Address - Street 2:
Practice Address - City:OPELIKA
Practice Address - State:AL
Practice Address - Zip Code:36801-5456
Practice Address - Country:US
Practice Address - Phone:334-321-3700
Practice Address - Fax:334-887-7475
Is Sole Proprietor?:No
Enumeration Date:2006-10-03
Last Update Date:2023-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL9668207RG0300X, 207R00000X
GA20690207RG0300X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL000080867Medicaid
GA00221581AMedicaid
AL000009536Medicaid
C73295Medicare UPIN
AL000080867Medicare PIN
AL000080867Medicaid