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WEST GEORGIA FAMILY MEDICINE ASSOCIATES PA NPI 1750329249


NPI Information

NPI: 1750329249
Provider Name: WEST GEORGIA FAMILY MEDICINE ASSOCIATES, PA
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 11D2273492

Address:
705 DALLAS HWY
SUITE 201
VILLA RICA, GA
ZIP 30180
Phone: (770) 459-4411
Get Directions

WEST GEORGIA FAMILY MEDICINE ASSOCIATES, PA is a family medicine in Villa Rica, 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. WEST GEORGIA FAMILY MEDICINE ASSOCIATES, PA NPI is 1750329249. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

705 DALLAS HWY
SUITE 201
VILLA RICA, GA
ZIP 30180-247
Phone: (770) 459-4411
Fax: (770) 459-1898

The provider's authorized official is Debbi Macaluso-peare .
The authorized official title is Director Of Finance and has the following contact phone number (770) 838-8554.

The CLIA number assigned to this NPI record is 11D2273492 - other - diagnostic testing lab with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/4/2006 and was last updated on 6/13/2008.


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
2208600000XSurgeryNo
3207Q00000XFamily 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
1000207567AMEDICAIDGEORGIA
2GRP1067MEDICARE ID-TYPE UNSPECIFIEDGEORGIA

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

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