THE FAMILY HEALTH CENTERS OF GEORGIA, INC (NPI# 1497079677) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497079677 |
| Entity Type | Organization |
| Organization Name | THE FAMILY HEALTH CENTERS OF GEORGIA, INC |
| Other Organization Name | THE FAMILY HEALTH CENTER @COBB/DOUGLAS SERVICE BOARD |
| Practice Address |
1650 County Services Pkwy Sw Marietta GA 30008-4010 |
| Mailing Address |
868 York Ave Sw Atlanta GA 30310-2750 |
| Practice Telephone | 7705142422 |
| Practice Fax Number | 7705149851 |
| Mailing Telephone | 4047521400 |
| Mailing Fax Number | 4047568749 |
| Enumeration Date | 2010-03-17 |
| Last Update Date | 2014-10-07 |
| Authorized Official Name | DR. MICHAEL W BROOKS (PRESIDENT, CEO) |
| Authorized Official Telephone | 4047521400 |
| Authorized Official Credential | MD, |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 000437478O | 05 |
| Other Name | Type Code |
|---|---|
| The Family Health Center @Cobb/Douglas Service Board | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417597238 | The Family Health Centers of Georgia, Inc | Clinic/Center | 19 John Maddox Dr Nw Ste B, Rome, GA 30165-1477 | 2020-01-09 |
| 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 |
| Street Address |
1650 COUNTY SERVICES PKWY SW |
| City | MARIETTA |
| State | GA |
| Zip Code | 30008-4010 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518962414 | Ofelia S Mandock | Pediatrics | 1650 County Services Pkwy Sw, Marietta, GA 30008-4010 | 2005-06-16 |
| 1598391112 | Sean Dougherty | Social Worker | 1650 County Services Pkwy Sw, Marietta, GA 30008-4010 | 2020-03-15 |
| 1023659737 | Sherlyne O Anatole | Nurse Practitioner | 1650 County Services Pkwy Sw, Marietta, GA 30008-4010 | 2019-10-03 |
| 1255847877 | Margaret Riddle | Counselor | 1650 County Services Pkwy Sw, Marietta, GA 30008-4010 | 2017-12-19 |
| 1548708209 | Brenda Westerman | Counselor | 1650 County Services Pkwy Sw, Marietta, GA 30008-4010 | 2017-02-02 |
| 1841737681 | Cassandra Guerrero | Counselor | 1650 County Services Pkwy Sw, Marietta, GA 30008-4010 | 2017-01-31 |
| 1548707789 | Daniel Mulcahy | Counselor | 1650 County Services Pkwy Sw, Marietta, GA 30008-4010 | 2017-01-26 |
| 1003353103 | Frieda Wright | Counselor | 1650 County Services Pkwy Sw, Marietta, GA 30008-4010 | 2017-01-26 |
| 1861939936 | Renee Christian | Counselor | 1650 County Services Pkwy Sw, Marietta, GA 30008-4010 | 2017-01-26 |
| 1679994644 | Allyson Balzuweit | Dietitian, Registered | 1650 County Services Pkwy Sw, Marietta, GA 30008-4010 | 2013-12-18 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952740276 | Beta Discount Pharmacy & Health Services, LLC | Pharmacy | 776 Sandtown Rd Sw, Marietta, GA 30008 | 2013-06-19 |
| 1982935607 | Family Home Care, LLC | Respite Care | 1791 Silver Leaf Ct, Marietta, GA 30008 | 2010-01-20 |
| 1952546533 | Daniel Park | Plastic Surgery | 2285 Asquith Ave Sw Ste 200, Marietta, GA 30008 | 2008-12-10 |
| 1265657399 | Scott D Warner | Chiropractor | 3201 Austell Rd Sw, Marietta, GA 30008 | 2007-04-16 |
| 1972572642 | Cobb County Board of Health | Public Health or Welfare | 1650 County Services Parkway, Marietta, GA 30008 | 2006-03-15 |
| 1538662622 | Lorna Brown | Nurse Practitioner | 1825 County Services Pkwy Sw, Marietta, GA 30008 | 2018-03-14 |
| 1760825905 | Avantika Varma | Family Medicine | 1650 County Services Pkwy Sw Ste 200, Marietta, GA 30008 | 2013-04-08 |
| 1689887663 | Brenda W Wilson | Psychiatry & Neurology | 1650 County Services Pkwy, Marietta, GA 30008 | 2007-05-07 |
| 1043423023 | Karen J Carter | Psychiatry & Neurology | 1650 County Services Pkwy, Marietta, GA 30008 | 2007-05-07 |
| 1043587330 | Francine Edwards | Speech-Language Pathologist | 3665 Austell Road Sw, Suite 1017, Marietta, GA 30008-0000 | 2011-11-30 |
| Find all providers in zip 30008 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
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|---|---|---|---|---|
| 1023658523 | Saint Joseph's Mercy Care Services, Inc. | Clinic/Center | 1407 Cobb Parkway Nw, Marietta, GA 30060-6546 | 2020-01-13 |
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| 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 |
| 1467092221 | Careconnect Health, Inc. | Clinic/Center | 130 N Lee St, Forsyth, GA 31029-2122 | 2020-01-09 |
| 1417597238 | The Family Health Centers of Georgia, Inc | Clinic/Center | 19 John Maddox Dr Nw Ste B, Rome, GA 30165-1477 | 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 |
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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.