PHYSICIANS FAMILY MEDICINE OF CANTON, LLC (NPI# 1740448372) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740448372 |
| Entity Type | Organization |
| Organization Name | PHYSICIANS FAMILY MEDICINE OF CANTON, LLC |
| Other Organization Name | MD MINOR EMERGENCY & FAMILY MEDICINE |
| Practice Address |
720 Transit Ave Ste 101 Canton GA 30114-2571 |
| Practice Telephone | 7707207000 |
| Practice Fax Number | 7707207055 |
| Mailing Telephone | 7707207000 |
| Mailing Fax Number | 7707207055 |
| Enumeration Date | 2008-05-30 |
| Last Update Date | 2016-05-04 |
| Authorized Official Name | STEPHANIE COCCIOLO (BILLING SUPERVISOR) |
| Authorized Official Telephone | 7707207100 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QU0200X |
Clinic/Center Specialization: Urgent Care |
Ambulatory Health Care Facilities | ||
| Y | 261QU0200X |
Clinic/Center Specialization: Urgent Care |
GA | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| MD Minor Emergency & Family Medicine | Doing Business As Name - Organization |
| Street Address |
720 TRANSIT AVE STE 101 |
| City | CANTON |
| State | GA |
| Zip Code | 30114-2571 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548219330 | Charles R Cooley | Family Medicine | 720 Transit Ave, Suite 101, Canton, GA 30114-2571 | 2006-05-09 |
| 1942761150 | Robert Breingan | Physical Therapist | 720 Transit Ave, Canton, GA 30114-2540 | 2019-03-29 |
| 1699104554 | Valerie Ciesla | Physical Therapist | 720 Transit Ave, Suite 202, Canton, GA 30114-2540 | 2013-11-01 |
| 1316298953 | Bethany Wiley Lill | Physician Assistant | 720 Transit Ave, Suite 202, Canton, GA 30114-2540 | 2012-09-22 |
| 1427333293 | Wellstar Cardiovascular Medicine, LLC | Internal Medicine | 720 Transit Ave, Suite 102, Canton, GA 30114-2540 | 2011-10-12 |
| 1184864258 | Kennestone Heart Physicians Group, PC | Internal Medicine | 720 Transit Ave, Building 100, Suite 102, Canton, GA 30114-2540 | 2009-03-02 |
| 1053453852 | Pinnacle Orthopaedics & Sports Medicine Specialists LLC | Orthopaedic Surgery | 720 Transit Ave, Suite 202, Canton, GA 30114 | 2007-02-12 |
| 1306921226 | Physiotherapy Associates Inc | Clinic/Center | 720 Transit Ave, Suite 102, Canton, GA 30114-2571 | 2006-10-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619516093 | Wickshire Canton Opco LLC | Assisted Living Facility | 125 Riverstone Terrace, Canton, GA 30114 | 2020-01-02 |
| 1154803583 | Alixandra Nicole Flournoy | Physical Therapist | 131 Holly Street, Canton, GA 30114 | 2018-09-01 |
| 1588157341 | Provident Group - Canton Cove Properties LLC | Alzheimer Center (Dementia Center) | 1100 Reinhardt College Parkway, Canton, GA 30114 | 2018-06-07 |
| 1003233107 | Heartland Dental Care of Georgia | Dentist | 3237 Sixes Rd, Canton, GA 30114 | 2014-03-26 |
| 1730510959 | Joseph Optical | Eyewear Supplier (Equipment, not the service) | 1455 Riverstone Pkwy Suite 110, Canton, GA 30114 | 2013-12-13 |
| 1629313036 | Ramona Morton Rasmussen | Occupational Therapist | 200 Riverstone Drive, Suite B, Canton, GA 30114 | 2012-12-11 |
| 1902154875 | Yong Qiao Luo | Acupuncturist | 200 Oakside Lane, Suite D, Canton, GA 30114 | 2012-08-26 |
| 1215294350 | Christina Lynn Hernandez | Pediatrics | 1558 Riverstone Pkwy Ste 100, Canton, GA 30114 | 2012-04-13 |
| 1558638981 | Stephen E Byrd | Counselor | 191 Lamar Haley Pkwy., Canton, GA 30114 | 2011-11-30 |
| 1073807855 | Sheri Sullins Buckley | Nurse Practitioner | 120 Oakside Ct Ste H, Canton, GA 30114 | 2011-06-08 |
| Find all providers in zip 30114 | ||||
| Taxonomy Code | 261QU0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Urgent Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013468461 | Nuch of Michigan, Inc. | Clinic/Center | 43767 Ford Road, Canton, MI 48187-3185 | 2016-10-20 |
| 1013053115 | Physcians Immediate Med of Canton, PC | Clinic/Center | 720 Transit Ave Ste 101, Canton, GA 30114-2571 | 2007-01-29 |
| 1447727292 | American Current Care of Ohio Pa Co | Clinic/Center | 4449 Whipple Ave Nw, Canton, OH 44718-2645 | 2018-10-30 |
| 1346787090 | Partners Urgent Care, LLC | Clinic/Center | 95 Washington St, Canton, MA 02021-4006 | 2017-01-19 |
| 1649712480 | Canton Urgent Care Walk-in Clinic PC | Clinic/Center | 43033 Ford Rd, Canton, MI 48187-3375 | 2016-11-10 |
| 1467864801 | Wrj & Associates Pllc | Clinic/Center | 44237 Michigan Ave, Canton, MI 48188-2584 | 2014-05-20 |
| 1780819573 | Cherry Hill Urgent Care Md PC | Clinic/Center | 42484 Cherry Hill Rd, Canton, MI 48187-3401 | 2009-05-21 |
| 1649425471 | Choice Urgent Care of Michigan P.c | Clinic/Center | 41750 Michigan Ave, Suite B, Canton, MI 48188-2679 | 2008-11-20 |
| 1801068788 | Choice Urgent Care of Michigan, PC | Clinic/Center | 41750 Michigan Ave, Canton, MI 48188-2679 | 2008-03-31 |
| 1669654208 | Western Wayne Urgent Care PC | Clinic/Center | 2050 N Haggerty Rd, Suite 140, Canton, MI 48187-3795 | 2007-12-05 |
| Find all providers in CANTON | ||||
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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.