Provider Type Icon

OCONEE PRIMARY CARE CENTER LLC NPI 1154756369


NPI Information

NPI: 1154756369
Provider Name: OCONEE PRIMARY CARE CENTER, LLC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
411 N COBB ST
MILLEDGEVILLE, GA
ZIP 31061
Phone: (478) 454-3470
Get Directions

OCONEE PRIMARY CARE CENTER, LLC is a family medicine in Milledgeville, GA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. OCONEE PRIMARY CARE CENTER, LLC NPI is 1154756369. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

411 N COBB ST
MILLEDGEVILLE, GA
ZIP 31061-634
Phone: (478) 454-3470

The provider's authorized official is Janelyn F Gaston .
The authorized official title is Practice Administrator and has the following contact phone number (706) 468-4519.

The enumeration date for this NPI number is 9/6/2013 and was last updated on 10/15/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207V00000XObstetrics & GynecologyNo
2207Q00000XFamily MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1003140021AMEDICAIDGEORGIA
2202G701823OTHERGEORGIAMEDICARE PTAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.