THOMASVILLE FAMILY MEDICINE CENTER LLC NPI 1407939564

NPI Information

NPI: 1407939564
Provider Name: THOMASVILLE FAMILY MEDICINE CENTER, LLC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 11D0266336

Address:
951 S BROAD ST
THOMASVILLE, GA
ZIP 31792
Phone: (229) 228-4130
Get Directions

THOMASVILLE FAMILY MEDICINE CENTER, LLC is a family medicine in Thomasville, 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. THOMASVILLE FAMILY MEDICINE CENTER, LLC NPI is 1407939564. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

951 S BROAD ST
THOMASVILLE, GA
ZIP 31792-161
Phone: (229) 228-4130
Fax: (229) 226-4690

The provider's authorized official is Calvin J Reams .
The authorized official title is Partner and has the following contact phone number (229) 228-4130.

The CLIA number assigned to this NPI record is 11D0266336 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/23/2006 and was last updated on 8/25/2015.

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	License Number	License State	Primary
1	207Q00000X	Family Medicine	019585	GEORGIA	No
2	103T00000X	Psychologist	002549	GEORGIA	No
3	207Q00000X	Family Medicine	045799	GEORGIA	No
4	207Q00000X	Family Medicine	046526	GEORGIA	No
5	207Q00000X	Family Medicine	033433	GEORGIA	No
6	207Q00000X	Family Medicine	067205	GEORGIA	No
7	207Q00000X	Family Medicine	067559	GEORGIA	No
8	207Q00000X	Family Medicine	029087	GEORGIA	Yes

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
1	11DO266342	OTHER	GEORGIA	CLIA LAB NUMBER
2	GRP1474	MEDICARE UPIN	GEORGIA
3	188566	OTHER	GEORGIA	BLUE CROSS-GROUP
4	300023240A	MEDICAID	GEORGIA

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

NPI Synchronization or Removal

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