COMMUNITY PRIMARY CARE OF GEORGIA LLC


Address: 946 Veterans Pkwy, Barnesville, GA 30204-3771
Phone: 7703582485

COMMUNITY PRIMARY CARE OF GEORGIA LLC (NPI# 1053662296) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1053662296
Entity Type Organization
Organization Name COMMUNITY PRIMARY CARE OF GEORGIA LLC
Other Organization Name COMMUNITY PRIMARY CARE
Practice Address 946 Veterans Pkwy
Barnesville
GA 30204-3771
Mailing Address 4080 Mcginnis Ferry Rd
Suite 804
Alpharetta
GA 30005-3948
Practice Telephone 7703582485
Mailing Telephone 4044010225
Enumeration Date 2012-09-27
Last Update Date 2012-09-27
Authorized Official Name CHARLES KEMP (VICE PRESIDENT OF OPERATIONS)
Authorized Official Telephone 4044010225
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207QG0300X Family Medicine
Specialization: Geriatric Medicine
Allopathic & Osteopathic Physicians

Other Provider/Organization Names

Other Name Type Code
Community Primary Care Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1336492511 Community Primary Care of Georgia LLC Family Medicine 1005 Boulder Dr, Gray, GA 31032-6141 2012-10-25
1861744179 Community Primary Care of Georgia LLC Family Medicine 343 Plantation Way, Macon, GA 31210-9286 2012-10-10
1730430968 Community Primary Care of Georgia LLC Family Medicine 165 S Broad St, Butler, GA 31006-5526 2012-09-27
1447501689 Community Primary Care of Georgia LLC Family Medicine 529 Bolingreen Dr, Macon, GA 31210-5303 2012-09-27

Office Location

Street Address 946 VETERANS PKWY
City BARNESVILLE
State GA
Zip Code 30204-3771

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1881987204 Kristina Henderson Counselor 419 College Drive, Barnesville, GA 30204 2011-05-18
1386890861 Ingles Markets Inc Pharmacy 631 Hwy 341 South, Barnesville, GA 30204 2008-08-15
1053532598 Brenda W Durden Licensed Practical Nurse 700 Highway 341 South, Barnesville, GA 30204 2007-05-01
1922133479 Bonnie Sollenberger Clemons Nurse Practitioner 1798 Willis Road, Barnesville, GA 30204 2007-02-23
1639187693 Gerald E Cauthen Dentist 819 College Dr, Barnesville, GA 30204 2006-08-04
1639127590 Kim Maria Willard Family Medicine 101 Commerce Place, Suite 1, Community Medical Center of Barnesville, Barnesville, GA 30204 2006-05-04
1841254240 Joel David Fuller Dentist 251 Grove St, Barnesville, GA 30204-1116 2006-04-13
1295819811 Sean P Parker Physician Assistant 100 Highway 18 W, Suite 106, Barnesville, GA 30204-1171 2006-10-24
1710302161 Jyoti R Parikh Internal Medicine 100 Highway 18 W, Suite 106, Barnesville, GA 30204-1171 2014-02-21
1861748535 Zoe Center for Pediatric & Adolescent Health, LLC Pediatrics 100 Highway 18 W, Ste 201, Barnesville, GA 30204-1171 2012-07-31
Find all providers in zip 30204

Taxonomy Information

Taxonomy Code 207QG0300X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine
Specialization Geriatric Medicine

Taxonomy Definition

A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Family Medicine, 2007. http://wwwtheabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Medicine.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1295366292 B Mata LLC Family Medicine 1631 Atlanta Hwy, Gainesville, GA 30504-5942 2020-01-28
1558916056 Newtown Park Medical Clinic and Geriatrics LLC Family Medicine 2880 Old Alabama Rd #300, Johns Creek, GA 30022-5033 2019-08-02
1558830919 Patriot Healthcare of Georgia, LLC Family Medicine 833 Hairston Road, Stone Mountain, GA 30083 2018-11-15
1275002636 Patriot Healthcare of Georgia, LLC Family Medicine 1587 Phoenix Boulevard, Suite 6, College Park, GA 30349 2018-11-15
1215471479 Deana Perkins Family Medicine 756 Arrowhead Lake Rd, Thomaston, GA 30286-5004 2016-12-07
1255731741 Jafar Tabatabai M.d. P.C. Family Medicine 7961 Highway 92 Ste 100, Woodstock, GA 30189-5209 2014-09-03
1457604381 Senior Care Plus Limited Liability Company Family Medicine 990 Peachtree Industrial Blvd Number 4532, Suwanee, GA 30024-5249 2012-10-16
1669770954 J&a Wood, LLC Family Medicine 2724 Grey Fox Ct, Haddock, GA 31033-6009 2011-03-10
1043442080 Sam Peng Md PC Family Medicine 1622 Rivergreen Bnd Se, Atlanta, GA 30339-8546 2009-08-10
1134259369 Rina Eisenstein Family Medicine 215 Arbor Creek Way, Roswell, GA 30076-1291 2007-03-06
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Competitor

Search similar providers

City BARNESVILLE
Zip Code 30204

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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