LAFAYETTE FAMILY PRACTICE (NPI# 1508058066) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508058066 |
| Entity Type | Organization |
| Organization Name | LAFAYETTE FAMILY PRACTICE |
| Practice Address |
611 N Main St La Fayette GA 30728-2241 |
| Practice Telephone | 7066385300 |
| Practice Fax Number | 7066385323 |
| Mailing Telephone | 7066385300 |
| Mailing Fax Number | 7066385323 |
| Enumeration Date | 2007-08-17 |
| Last Update Date | 2007-10-04 |
| Authorized Official Name | DR. GEORGE PAUL SHAW JR. (DOCTOR) |
| Authorized Official Telephone | 7066385300 |
| Authorized Official Credential | M.D |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 22056 | GA | Allopathic & Osteopathic Physicians |
| Street Address |
611 N MAIN ST |
| City | LA FAYETTE |
| State | GA |
| Zip Code | 30728-2241 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366485948 | George Paul Shaw Jr. | Family Medicine | 611 N Main St, La Fayette, GA 30728-2241 | 2006-06-13 |
| 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 |
| 1891358750 | K -va -t Food Stores Inc | Durable Medical Equipment & Medical Supplies | 311 North Main Street, Lafayette, GA 30728 | 2019-04-17 |
| 1023505914 | Heather Staton | Pharmacist | 324 W. Patton Street, Lafayette, GA 30728 | 2018-04-17 |
| 1023484805 | Tyler Kellum Levie | Dentist | 201 E. Villanow Street, Lafayette, GA 30728 | 2015-08-17 |
| 1083987481 | Krishawna Elaine Montgomery | Counselor | 501 Mize Street Lookout Mountain Community Services, Lafayette, GA 30728 | 2012-02-15 |
| 1346518198 | William Randall Smith | Behavioral Analyst | 902 Daugherty Street, Lafayette, GA 30728 | 2011-12-08 |
| 1821321506 | John H Rockwell | Contractor | 143 Golden Oaks Dr, La Fayette, GA 30728 | 2009-09-11 |
| 1619113057 | Lookout Mountain Community Services | Community/Behavioral Health | 43 Shady Court, Lafayette, GA 30728 | 2009-01-06 |
| 1326212705 | Lookout Mountain Community Services | Community/Behavioral Health | 1218 Chattanooga St., Lafayette, GA 30728 | 2008-04-17 |
| 1649444084 | Lookout Mountain Community Services | Community/Behavioral Health | 29 Mae Tucker Rd., Lafayette, GA 30728 | 2008-04-16 |
| Find all providers in zip 30728 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| 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. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, 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 Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700820198 | Ralph Edward Bowers II | Family Medicine | 204 N Duke St, La Fayette, GA 30728-2505 | 2006-06-15 |
| 1801861935 | Aloysius T Mangan | Family Medicine | 615 E Villanow St, La Fayette, GA 30728-2618 | 2006-02-22 |
| 1336132679 | Eric J Betts | Family Medicine | 611 E Villanow St, La Fayette, GA 30728-2618 | 2005-08-23 |
| 1760632780 | Memorial Health Partners Foundation, Inc. | Family Medicine | 611 E Villanow St, La Fayette, GA 30728-2618 | 2008-09-26 |
| 1366485948 | George Paul Shaw Jr. | Family Medicine | 611 N Main St, La Fayette, GA 30728-2241 | 2006-06-13 |
| 1124074992 | Lafayette After Hours, LLC | Family Medicine | 615 E Villanow St, La Fayette, GA 30728-2618 | 2006-05-25 |
| 1841266673 | David P Hall | Family Medicine | 615 E Villanow St, La Fayette, GA 30728-2618 | 2006-02-23 |
| 1376520874 | Richard C Smith | Family Medicine | 611 E Villanow St, La Fayette, GA 30728-2618 | 2005-12-27 |
| 1275510851 | Teddy A Scoggins | Family Medicine | 611 E Villanow St, La Fayette, GA 30728-2618 | 2005-12-27 |
| 1346225919 | Suzanne Storey | Family Medicine | 611 E Villanow St, La Fayette, GA 30728-2618 | 2005-12-07 |
| Find all providers in LA FAYETTE | ||||
| City | LA FAYETTE |
| Zip Code | 30728 |
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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.