THE FAMILY HEALTH CENTERS OF GEORGIA, INC (NPI# 1417597238) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417597238 |
| Entity Type | Organization |
| Organization Name | THE FAMILY HEALTH CENTERS OF GEORGIA, INC |
| Practice Address |
19 John Maddox Dr Nw Ste B Rome GA 30165-1477 |
| Mailing Address |
868 York Ave Sw Atlanta GA 30310-2750 |
| Practice Telephone | 4047521400 |
| Enumeration Date | 2020-01-09 |
| Last Update Date | 2020-01-09 |
| Authorized Official Name | MICHAEL WAYNE BROOKS (CEO) |
| Authorized Official Telephone | 4047568738 |
| Is Organization Subpart | Y |
| Parent Organization Name | THE FAMILY HEALTH CENTERS OF GEORGIA, INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457891525 | The Family Health Centers of Georgia, Inc | Clinic/Center | 2075 Princeton Ave, College Park, GA 30337-2411 | 2017-03-08 |
| 1952717357 | The Family Health Centers of Georgia, Inc | Clinic/Center | 1525 Norman Dr, College Park, GA 30349-5403 | 2014-07-07 |
| 1366789901 | The Family Health Centers of Georgia, Inc | Clinic/Center | 5920 Sandy Springs Cir Ne, Sandy Springs, GA 30328-5937 | 2013-01-15 |
| 1760741102 | The Family Health Centers of Georgia, Inc | Clinic/Center | 3700 Martin Luther King Jr Dr Sw, Atlanta, GA 30331-3674 | 2012-05-04 |
| 1760612055 | The Family Health Centers of Georgia, Inc | Clinic/Center | 2011 Bolton Road, Suite 104, Atlanta, GA 30318-1137 | 2009-07-21 |
| 1285727396 | The Family Health Centers of Georgia, Inc | Clinic/Center | 805 Campbell Hill St Nw, Marietta, GA 30060-1144 | 2006-10-02 |
| 1720080989 | The Family Health Centers of Georgia, Inc | Clinic/Center | 868 York Ave Sw, Atlanta, GA 30310-2750 | 2005-06-01 |
| 1720692783 | The Family Health Centers of Georgia, Inc | Clinic/Center | 6025 Professional Pkwy Ste 200, Douglasville, GA 30134-5610 | 2020-09-06 |
| 1164937744 | The Family Health Centers of Georgia, Inc | Pediatrics | 2565 Jolly Rd, College Park, GA 30349-3103 | 2017-12-05 |
| 1538674114 | The Family Health Centers of Georgia, Inc | Pediatrics | 910 Dannon Vw Sw Ste 2102, Atlanta, GA 30331-2156 | 2017-12-05 |
| Street Address |
19 JOHN MADDOX DR NW STE B |
| City | ROME |
| State | GA |
| Zip Code | 30165-1477 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346868775 | Heather Bowman | Physical Therapist | 600 Eagle, E Lake Dr, Rome, GA 30165 | 2020-07-13 |
| 1205451101 | Kristopher Nelson | Student in an Organized Health Care Education/Training Program | 4256, 304 Shorter Ave Nw #201, Rome, GA 30165 | 2020-06-16 |
| 1962061457 | Stuart Paul Shaklee | Occupational Therapy Assistant | 1356 Redmond Road, Rome, GA 30165 | 2019-06-10 |
| 1386001055 | Autumn Streetman | Counselor | 6 Mathis Drive, Rome, GA 30165 | 2016-01-26 |
| 1144695784 | Gabrador Milligan | Counselor | 6 Mathis Road, Rome, GA 30165 | 2015-12-08 |
| 1386041952 | Theresa Suits | Registered Nurse | 1 Woodbine Avenue, Rome, GA 30165 | 2014-11-26 |
| 1942561147 | Nicole C. Christian | Clinical Neuropsychologist | 305 Redmond Rd, Rome, GA 30165 | 2012-06-04 |
| 1679832711 | Niki Pareshkumar Bhavsar | Internal Medicine | 3041 Turner Mccall Blvd, Rome, GA 30165 | 2012-05-10 |
| 1285927491 | Amanda Fischer Reeves | Family Medicine | 304 Shorter Ave Nw Ste 102, Rome, GA 30165 | 2011-05-20 |
| 1033436647 | Northland Hearing Centers, Inc. | Hearing Instrument Specialist | 4 Coosawattee Ave, Rome, GA 30165 | 2010-04-23 |
| Find all providers in zip 30165 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699080911 | Primary Health Network | Clinic/Center | 5266 State Route 45, Rome, OH 44085-9404 | 2010-08-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891395620 | Primary Health Care Center of Dade, Inc. | Clinic/Center | 8a Probasco Street Unit 214, Lafayette, GA 30728 | 2020-10-30 |
| 1366066243 | Health Education Assessment and Leadership Inc | Clinic/Center | 225 Griffin St Nw, Atlanta, GA 30314-3917 | 2020-06-05 |
| 1851924377 | Valley Healthcare System | Clinic/Center | 1458 Benning Dr, Columbus, GA 31903-2200 | 2020-02-13 |
| 1952941528 | Curtis V. Cooper Primary Health Care, Inc | Clinic/Center | 400 E Broad St, Savannah, GA 31401-5104 | 2020-01-13 |
| 1023658523 | Saint Joseph's Mercy Care Services, Inc. | Clinic/Center | 1407 Cobb Parkway Nw, Marietta, GA 30060-6546 | 2020-01-13 |
| 1467092221 | Careconnect Health, Inc. | Clinic/Center | 130 N Lee St, Forsyth, GA 31029-2122 | 2020-01-09 |
| 1649810714 | Careconnect Health, Inc. | Clinic/Center | 254 Wright Avenue, Roberta, GA 31078 | 2020-01-07 |
| 1437798725 | Careconnect Health, Inc. | Clinic/Center | 414 S Frontage Rd Lot 53, Forsyth, GA 31029-3025 | 2020-01-03 |
| 1285277608 | Saint Joseph's Mercy Care Services, Inc. | Clinic/Center | 1976 Flat Shoals Rd Se Ste B, Atlanta, GA 30316-2857 | 2019-10-18 |
| 1467094649 | South Central Primary Care Center, Inc | Clinic/Center | 149 Chieftain Cir, Ocilla, GA 31774-2231 | 2019-10-09 |
| Find all providers with the same taxonomy | ||||
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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.