POWDER SPRINGS MEDICAL CLINIC INC. NPI 1134334832

NPI Information

NPI: 1134334832
Provider Name: POWDER SPRINGS MEDICAL CLINIC, INC.
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
4045-B LINDLEY CIR
POWDER SOPRINGS, GA
ZIP 30127
Phone: (770) 943-1636
Get Directions

POWDER SPRINGS MEDICAL CLINIC, INC. is a family medicine in Powder Soprings, 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. POWDER SPRINGS MEDICAL CLINIC, INC. NPI is 1134334832. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4045-B LINDLEY CIR
POWDER SOPRINGS, GA
ZIP 30127
Phone: (770) 943-1636
Fax: (770) 943-7941

The provider's authorized official is Bobby Wayne Hill .
The authorized official title is President and has the following contact phone number (770) 943-1636.

The enumeration date for this NPI number is 5/14/2007 and was last updated on 2/14/2008.

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
1	207Q00000X	Family Medicine		019698	GEORGIA	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	D45649	MEDICARE UPIN	GEORGIA
2	GRP3770	OTHER	GEORGIA	MEDICARE GROUP
3	52143080	OTHER	GEORGIA	BCBS
4	4569669	OTHER	GEORGIA	AETNA
5	0100673	OTHER	GEORGIA	UNITED HEALTHCARE
6	3661647	OTHER	GEORGIA	CIGNA
7	P00256198	OTHER	GEORGIA	RAILROAD MEDICARE
8	10041190	OTHER	GEORGIA	AMERIGROUP
9	314139	OTHER	GEORGIA	WELLCARE

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

NPI Synchronization or Removal

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