THE FAMILY HEALTH CENTERS OF GEORGIA, INC (NPI# 1760741102) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760741102 |
| Entity Type | Organization |
| Organization Name | THE FAMILY HEALTH CENTERS OF GEORGIA, INC |
| Other Organization Name | THE FAMILY HEALTH CENTER @ ADAMSVILLE REGIONAL HEALTH CENTER |
| Practice Address |
3700 Martin Luther King Jr Dr Sw Atlanta GA 30331-3674 |
| Mailing Address |
868 York Ave Sw Atlanta GA 30310-2750 |
| Practice Telephone | 4046136384 |
| Practice Fax Number | 4048936856 |
| Mailing Telephone | 4047521400 |
| Mailing Fax Number | 4047568749 |
| Enumeration Date | 2012-05-04 |
| Last Update Date | 2014-10-07 |
| Authorized Official Name | 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 | 000437478T | 05 |
| Other Name | Type Code |
|---|---|
| The Family Health Center @ Adamsville Regional Health Center | 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 |
| 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 |
3700 MARTIN LUTHER KING JR DR SW |
| City | ATLANTA |
| State | GA |
| Zip Code | 30331-3674 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841803715 | Kelsey Fuller | Social Worker | 3700 Martin Luther King Jr Dr Sw, Atlanta, GA 30331-3674 | 2020-08-28 |
| 1619594926 | Lela Nickens | Social Worker | 3700 Martin Luther King Jr Dr Sw, Atlanta, GA 30331-3674 | 2020-07-02 |
| 1306463336 | Phallon Foxworth | Counselor | 3700 Martin Luther King Jr Dr Sw, Atlanta, GA 30331-3674 | 2020-06-25 |
| 1881234433 | Tammy S Milner | Specialist | 3700 Martin Luther King Jr Dr Sw, Atlanta, GA 30331-3674 | 2020-01-12 |
| 1326699224 | Tanaeyah Olivia Davis-gomez | Social Worker | 3700 Martin Luther King Jr Dr Sw, Atlanta, GA 30331 | 2019-09-23 |
| 1801444369 | Jameka Brownlee | Student in an Organized Health Care Education/Training Program | 3700 Martin Luther King Jr Dr Sw, Atlanta, GA 30331-3674 | 2019-08-28 |
| 1770047375 | Ngoc Chhou | Dental Hygienist | 3700 Martin Luther King Jr Dr Sw, Atlanta, GA 30331-3674 | 2019-01-28 |
| 1871078097 | Julia Anne Fiore | Social Worker | 3700 Martin Luther King Jr Dr Sw, Atlanta, GA 30331-3674 | 2018-10-03 |
| 1962928903 | Fulton County Board of Health | Clinic/Center | 3700 Martin Luther King Jr Dr Sw, Atlanta, GA 30331-3674 | 2017-08-22 |
| 1306289269 | Olinthia Angrum | Registered Nurse | 3700 Martin Luther King Jr Dr Sw, Atlanta, GA 30331-3674 | 2013-04-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861001174 | Whitney Flemister | Social Worker | 3961 Princeton Lakes Way Sw, Atlanta, GA 30331 | 2020-07-23 |
| 1982237400 | Publix Super Markets, Inc. | Durable Medical Equipment & Medical Supplies | 5829 Campbellton Road, S.w, Suite 110, Atlanta, GA 30331 | 2020-02-13 |
| 1295375558 | Drusilla Precious Cudjoe | Behavior Technician | 3800 Camp Creek Parkway Sw, Building 1400, Atlanta, GA 30331 | 2020-01-14 |
| 1497262778 | Champions Pharmacy | Pharmacy | 3886 Princeton Lakes Way Suite 180, Atlanta, GA 30331 | 2018-01-08 |
| 1033629779 | Carmen Ardoin | Counselor | 2636 Martin Luther King Jr. Drive, Suite 12, Atlanta, GA 30331 | 2017-10-09 |
| 1346759974 | Neva R Allison | Nurse Practitioner | 2611 Dayview Ln, Atlanta, GA 30331 | 2017-09-26 |
| 1538678255 | Natalie Mckay | Technician/Technologist | 3915 Cascade Rd, 220, Atlanta, GA 30331 | 2017-09-26 |
| 1700304268 | Tyrone Pipkin | Contractor | 415 Kendrick Terrace Sw, Atlanta, GA 30331 | 2017-09-05 |
| 1073031688 | Kristen Wooldridge | Pharmacist | 3695 Cascade Road, Atlanta, GA 30331 | 2017-09-04 |
| 1548704687 | Advance Pain Management | Health Maintenance Organization | 2950 Stone Hogan Road Connector, Atlanta, GA 30331 | 2016-12-08 |
| Find all providers in zip 30331 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
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|---|---|---|---|---|
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| 1700328309 | Health Education Assessment and Leadership, Inc | Clinic/Center | 4215 Bakers Ferry Rd Sw, Miles Elementary School, Atlanta, GA 30331-4401 | 2016-11-14 |
| 1629510466 | Southside Medical Center, Inc. | Clinic/Center | 2025 Jonesboro Rd Se, Atlanta, GA 30315-6726 | 2016-11-10 |
| 1639527237 | Saint Joseph's Mercy Care Services, Inc. | Clinic/Center | 160 Pine Street Ne, Atlanta, GA 30308-2324 | 2016-05-25 |
| 1912365263 | Fulton County Government | Clinic/Center | 265 Boulevard Ne Fl 3, Atlanta, GA 30312-1208 | 2016-02-02 |
| 1154728335 | Saint Joseph's Mercy Care Services, Inc. | Clinic/Center | 2836 Springdale Rd Sw, Atlanta, GA 30315-7802 | 2014-12-03 |
| 1689090896 | Saint Joseph's Mercy Care Services, Inc. | Clinic/Center | 355 Peachtree St Ne, Atlanta, GA 30308-3256 | 2014-03-12 |
| 1881960722 | Thunder Bay Community Health Service, Inc | Clinic/Center | 10500 County Road 489, Atlanta, MI 49709 | 2012-03-26 |
| 1366773541 | West End Medical Canters @the Atrium @ College Town | Clinic/Center | 456 Joseph E Lowery Blvd Sw, Atlanta, GA 30310 | 2010-01-27 |
| Find all providers in ATLANTA | ||||
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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.