NORTHWEST GEORGIA FAMILY PRACTICE CENTER, PC (NPI# 1689765083) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689765083 |
| Entity Type | Organization |
| Organization Name | NORTHWEST GEORGIA FAMILY PRACTICE CENTER, PC |
| Practice Address |
68 Stockade Rd Summerville GA 30747-1900 |
| Mailing Address |
Po Box 409 Summerville GA 30747-0409 |
| Practice Telephone | 7068575402 |
| Practice Fax Number | 7068571800 |
| Mailing Telephone | 7068575402 |
| Mailing Fax Number | 7068571800 |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | HERMAN E. SPIVEY JR. (OWNER) |
| Authorized Official Telephone | 7068575402 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | Allopathic & Osteopathic Physicians |
| Street Address |
68 STOCKADE RD |
| City | SUMMERVILLE |
| State | GA |
| Zip Code | 30747-1900 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801082581 | Gail P Allen | Nurse Practitioner | 68 Stockade Rd, Summerville, GA 30747-1900 | 2007-09-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295162121 | Erin Marks Pledger | Counselor | 7563 Hwy. 337, Summerville, GA 30747 | 2013-10-10 |
| 1124377700 | Vickie Darlene Hice | Occupational Therapist | 1079 Brooks Road, Summerville, GA 30747 | 2012-08-29 |
| 1033479340 | Magdana Philossaint | Social Worker | 9991 Commerce St., Summerville, GA 30747 | 2012-05-21 |
| 1265667828 | Christina Douglass | Family Medicine | 11766 Hwy 27 North, Summerville, GA 30747 | 2009-05-26 |
| 1922118199 | Melissa June Compton | Dentist | 215 Farrar Drive, Summerville, GA 30747 | 2006-08-30 |
| 1871920710 | Tyler Wayne Pledger | Behavioral Analyst | 7563 Hwy. 337, Summerville, GA 30747 | 2013-10-10 |
| 1750506622 | Patrick A Parrino | Dentist | 19 Walnut Ave, Summerville, GA 30747 | 2007-04-16 |
| 1811007099 | Richard Dennis Compton | Dentist | 215 Farrar Drive, Summerville, GA 30747 | 2006-08-30 |
| 1942310107 | Richard Keith Compton | Dentist | 215 Farrar Drive, Summerville, GA 30747 | 2006-08-30 |
| 1336339076 | Summerville Chiropractic, Inc. | Chiropractor | 74 Highway 48, Summerville, GA 30747-0424 | 2007-07-30 |
| Find all providers in zip 30747 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
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| 1760419931 | William Henry Morris Jr. | General Practice | 404 N Pine St, Summerville, SC 29483 | 2006-06-26 |
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| Find all providers with the same taxonomy | ||||
| City | SUMMERVILLE |
| Zip Code | 30747 |
Please comment or provide details below to improve the information on NORTHWEST GEORGIA FAMILY PRACTICE CENTER, PC.
| 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.