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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207QG0300X |
Family Medicine Specialization: Geriatric Medicine |
Allopathic & Osteopathic Physicians |
Other Name | Type Code |
---|---|
Community Primary Care | Doing Business As Name - Organization |
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 |
Street Address |
946 VETERANS PKWY |
City | BARNESVILLE |
State | GA |
Zip Code | 30204-3771 |
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 Code | 207QG0300X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Family Medicine |
Specialization | Geriatric Medicine |
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. |
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 |
Find all providers with the same taxonomy |
City | BARNESVILLE |
Zip Code | 30204 |
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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.