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ATHENS FAMILY MEDICINE NPI 1255741807


NPI Information

NPI: 1255741807
Provider Name: ATHENS FAMILY MEDICINE
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 11D0688235

Address:
2205 BARNETT SHOALS RD
ATHENS, GA
ZIP 30605
Phone: (706) 548-1555
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ATHENS FAMILY MEDICINE is a family medicine in Athens, GA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. ATHENS FAMILY MEDICINE NPI is 1255741807. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

2205 BARNETT SHOALS RD
ATHENS, GA
ZIP 30605-605
Phone: (706) 548-1555
Fax: (706) 548-1577

The provider's authorized official is Paul D Haver .
The authorized official title is Md and has the following contact phone number (706) 548-1555.

The CLIA number assigned to this NPI record is 11D0688235 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 5/5/2014 and was last updated on 5/2/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily Medicine026381GEORGIANo
2207Q00000XFamily Medicine031605GEORGIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1202G706200MEDICARE PINGEORGIA
21255741807OTHERGEORGIAGROUP NPI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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