AFC PHYSICIANS OF GEORGIA, PC (NPI# 1861803371) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1861803371 |
Entity Type | Organization |
Organization Name | AFC PHYSICIANS OF GEORGIA, PC |
Practice Address |
1095 Woodstock Rd Roswell GA 30075-0000 |
Mailing Address |
3700 Cahaba Beach Rd Birmingham AL 35242-5225 |
Practice Telephone | 6783472464 |
Practice Fax Number | 6783472460 |
Mailing Telephone | 2054038902 |
Mailing Fax Number | 2054212109 |
Enumeration Date | 2014-05-19 |
Last Update Date | 2020-06-12 |
Authorized Official Name | MR. RANDY JOHANSEN (PRESIDENT) |
Authorized Official Telephone | 2054212101 |
Is Organization Subpart | Y |
Parent Organization Name | AFC PHYSICIANS OF GEORGIA, PC |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208D00000X | General Practice | GA | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
GA | MEDICARE GROUP PTAN# | 202G708342 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518388941 | Afc Physicians of Georgia, PC | General Practice | 6440 Bells Ferry Rd, Woodstock, GA 30189 | 2014-01-03 |
1265879977 | Afc Physicians of Georgia, PC | General Practice | 3481 Ernest Barrett Parkway Sw, Marietta, GA 30064-2703 | 2013-06-04 |
1053662189 | Afc Physicians of Georgia, PC | General Practice | 5610 Roswell Rd Ste 100, Sandy Springs, GA 30342-1102 | 2012-09-28 |
1982950671 | Afc Physicians of Georgia, PC | General Practice | 12994 Hwy 9, Milton, GA 30004 | 2012-07-31 |
1447623541 | Afc Physicians of Georgia, PC | General Practice | 1800 Howell Mill Rd Nw, Suite 100, Atlanta, GA 30318-2538 | 2015-11-11 |
1134506058 | Afc Physicians of Georgia, PC | Family Medicine | 26 Parkway Dr, Ft. Oglethorpe, GA 30742 | 2015-04-29 |
1982025318 | Afc Physicians of Georgia, PC | General Practice | 6509 Gateway Rd, Columbus, GA 31909-5681 | 2014-01-03 |
Street Address |
1095 WOODSTOCK RD |
City | ROSWELL |
State | GA |
Zip Code | 30075-0000 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851889539 | William Shelton Green | Specialist/Technologist | 1055 Riceland Ct, Roswell, GA 30075 | 2018-04-27 |
1043712524 | Lena Claire Morison | Music Therapist | 12060 Etris Rd. #200, Roswell, GA 30075 | 2018-03-01 |
1790232031 | Christina Danielle Dicioccio | Physician Assistant | 11040 Crabapple Rd # Suiea, Roswell, GA 30075 | 2016-09-02 |
1720531767 | Arbor Cove Therapy LLC | Social Worker | 981 Canton St, Suite 200-e, Roswell, GA 30075 | 2016-07-26 |
1740640887 | Christina C Plaice | Counselor | 10882 Crabapple Road, Suite 2, Roswell, GA 30075 | 2016-03-02 |
1215316435 | Jlm X-ray LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 1015 Canton Street, Roswell, GA 30075 | 2015-05-20 |
1174953624 | Ellen Terrell | Occupational Therapist | 10050 Crabapple Road, Suite D-115a, Roswell, GA 30075 | 2013-11-20 |
1114269974 | Patricia E Hernandez | Nurse Practitioner | 10479 Alpharetta St Ste 18, Roswell, GA 30075 | 2013-03-20 |
1750623658 | The George Center Foundation | Music Therapist | 1206 Etris Rd., Suite 200, Roswell, GA 30075 | 2013-03-19 |
1407187735 | Rachael Anne Templeton | Chiropractor | 593 Atlanta Street, Gorman Chiropractic, Roswell, GA 30075 | 2010-01-27 |
Find all providers in zip 30075 |
Taxonomy Code | 208D00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | General Practice |
Definition to come... |
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1114156932 | Frederick David Doe | General Practice | 600 Canoncito Dr, Roswell, NM 88201-1313 | 2009-07-14 |
1932112703 | Marcia V Byrd | General Practice | 11050 Crabapple Road, Ste 105b, Roswell, GA 30075 | 2006-08-14 |
1609282961 | Complete Care 514 LLC | General Practice | 109 W Bland St, Roswell, NM 88203-5708 | 2014-07-08 |
1417212903 | Gocorona LLC | General Practice | 304 S Lea Ave, Roswell, NM 88203-4562 | 2012-07-10 |
1194003467 | Alan R Jakins Md PC Inc | General Practice | 110 W College Blvd, Ste F, Roswell, NM 88201-5170 | 2011-08-03 |
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1386260131 | Midnight Rose, LLC | General Practice | 6380 Bells Ferry Rd, Acworth, GA 30102-5435 | 2020-06-17 |
1477176394 | Optimal Choice Telehealth | General Practice | 1227 Rockbidge Rd Sw, Ste 208-354, Stone Mountain, GA 30087 | 2020-05-27 |
1053946004 | Proactive Medical Center | General Practice | 3455 Peachtree Industrial Blvd Ste 910, Duluth, GA 30096-6502 | 2020-03-10 |
1285265546 | Idea Body Institute Atlanta Asc | General Practice | 371 E Paces Ferry Rd Ne Ste 450, Atlanta, GA 30305-3292 | 2020-01-27 |
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1770121030 | New Life Medical Centers Georgia LLC | General Practice | 3550 Lenox Rd Ne Ste 2100, Atlanta, GA 30326-1810 | 2019-12-18 |
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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.