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COMMUNITY PRIMARY CARE OF GEORGIA LLC NPI 1053662296


NPI Information

NPI: 1053662296
Provider Name: COMMUNITY PRIMARY CARE OF GEORGIA LLC

Doing Business As: COMMUNITY PRIMARY CARE

Classification: Family Medicine - 207QG0300X
Entity Type: Organization

Specialization: Geriatric Medicine

CLIA Number: 11D0257020

Address:
946 VETERANS PKWY
BARNESVILLE, GA
ZIP 30204
Phone: (770) 358-2485
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COMMUNITY PRIMARY CARE OF GEORGIA LLC is a geriatric medicine family medicine in Barnesville, GA. The provider is a family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital. COMMUNITY PRIMARY CARE OF GEORGIA LLC NPI is 1053662296. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Community Primary Care.

The provider's business location address is:

946 VETERANS PKWY
BARNESVILLE, GA
ZIP 30204-771
Phone: (770) 358-2485

The provider's authorized official is Charles Kemp .
The authorized official title is Vice President Of Operations and has the following contact phone number (404) 401-0225.

The CLIA number assigned to this NPI record is 11D0257020 - community clinic with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 9/27/2012 and was last updated on 9/27/2012.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207QG0300XFamily MedicineGeriatric MedicineYes

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: 5/5/2024

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