TMC WEST CARROLL FAMILY HEALTHCARE CENTER INC (NPI# 1982631321) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982631321 |
| Entity Type | Organization |
| Organization Name | TMC WEST CARROLL FAMILY HEALTHCARE CENTER INC |
| Other Organization Name | WEST CARROLL FAMILY HEALTHCARE |
| Practice Address |
1125 E Highway 166 Bowdon GA 30108-2401 |
| Mailing Address |
119 Ambulance Dr Suite 202 Carrollton GA 30117-3857 |
| Practice Telephone | 7702585424 |
| Practice Fax Number | 7708388980 |
| Mailing Telephone | 7708388710 |
| Enumeration Date | 2006-06-28 |
| Last Update Date | 2016-12-06 |
| Authorized Official Name | SUSAN FOX (VP OPERATIONS) |
| Authorized Official Telephone | 7708388845 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 000750274A | 05 |
| Other Name | Type Code |
|---|---|
| West Carroll Family Healthcare | Doing Business As Name - Organization |
| Street Address |
1125 E HIGHWAY 166 |
| City | BOWDON |
| State | GA |
| Zip Code | 30108-2401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326665183 | Brittany S Latimer | Nurse Practitioner | 1125 E Highway 166, Bowdon, GA 30108-2401 | 2020-06-28 |
| 1275784373 | Dennis Hoyt Boswell | Physician Assistant | 1125 E Highway 166, Bowdon, GA 30108-2401 | 2008-10-07 |
| 1871703868 | Justin D Lovvorn | Family Medicine | 1125 E Highway 166, Bowdon, GA 30108-2401 | 2007-05-22 |
| 1699789644 | Robert Chris Salter | Family Medicine | 1125 E Highway 166, Bowdon, GA 30108-2401 | 2006-07-27 |
| 1063442937 | Mike W. Ou | Family Medicine | 1125 E Highway 166, Bowdon, GA 30108-2401 | 2006-07-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184811465 | Leigh Anne Hatten | Massage Therapist | 723 E College St, Apt 1, Bowdon, GA 30108 | 2007-10-01 |
| 1316093115 | Susan Cackowski | Chiropractor | 111 Lovvorn Ave, Bowdon, GA 30108 | 2007-01-25 |
| 1417029729 | Kidspeace National Centers of Georgia Inc | Psychiatric Residential Treatment Facility | 101 Kidspeace Drive, Bowden, GA 30108 | 2006-11-14 |
| 1922020312 | Michael Craig Widener | Dentist | 328 East College St., Bowdon, GA 30108 | 2006-07-24 |
| 1417474446 | Norie Cescutti Rogers | Counselor | 101 Kidspeace Drive, Bowdon, GA 30108 | 2017-08-30 |
| 1073622593 | Rite Aid of Georgia Inc | Durable Medical Equipment & Medical Supplies | 128 Lovvorn Avenue, Bowdon, GA 30108-1000 | 2006-08-29 |
| 1689032757 | Johnson and Entrekin Pharmacy LLC | Pharmacy | 205 E College St, Bowdon, GA 30108-1108 | 2016-02-04 |
| 1124310933 | Michelle Goldbach | Pharmacist | 128 Lovvorn Ave, Bowdon, GA 30108-1141 | 2011-05-11 |
| 1013431634 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 128 Lovvorn Ave, Bowdon, GA 30108-1141 | 2017-07-26 |
| 1043685779 | Robert Mccants Harris IIi | Pharmacist | 128 Lovvorn Ave, Bowdon, GA 30108-1141 | 2015-12-07 |
| Find all providers in zip 30108 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902028327 | The Medical Clinics of Georgia, LLC | Clinic/Center | 425 W.college Street, Bowdon, GA 30108-1311 | 2007-05-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437651924 | Amanda Mckenzie | Clinic/Center | Us Renal Care 657 Hemlock Street, Macon, GA 31206 | 2018-03-01 |
| 1518398049 | Norman Park Family Medicine Clinic | Clinic/Center | 139 East Broad Street, Norman Park, GA 31771 | 2013-12-10 |
| 1992147573 | Doerun Family Medicine Clinic | Clinic/Center | 128 West Broad Ave, Doerun, GA 31744 | 2013-07-23 |
| 1366784415 | Emanuel County Hospital Authority | Clinic/Center | 131a Victory Dr, Swainsboro, GA 30401-3234 | 2013-03-26 |
| 1306114004 | Lower Oconee Community Hospital, Inc | Clinic/Center | 421 W Robinson Dr, Mount Vernon, GA 30445-2935 | 2011-12-08 |
| 1013248962 | Southern Health Corp of Ellijay | Clinic/Center | 60 Old Highway 5 South, Ellijay, GA 30540-5436 | 2010-01-15 |
| 1427384353 | Union County Hospital Authority | Clinic/Center | 103 Church St Ste A, Hiawassee, GA 30546-3223 | 2009-10-28 |
| 1346574084 | Durall Capital Holdings, LLC | Clinic/Center | 59 Tipton Drive, Dahlonega, GA 30533 | 2009-09-29 |
| 1215260617 | Durall Capital Holdings, LLC | Clinic/Center | 35 Lumpkin Campground Road N, Dawsonville, GA 30534 | 2009-09-16 |
| 1376778001 | Phoebe Sumter Medical Center, Inc | Clinic/Center | 339 S Broad St, Ellaville, GA 31806-3304 | 2009-05-26 |
| Find all providers with the same taxonomy | ||||
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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.