GEORGIA HIGHLANDS MEDICAL SERVICES INC NPI 1194987412

NPI Information

NPI: 1194987412
Provider Name: GEORGIA HIGHLANDS MEDICAL SERVICES INC

Other Name: PROFESSIONAL PARK FAMILY PRACTICE

Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
100 PROFESSIONAL PARK DR
CUMMING, GA
ZIP 30040
Phone: (770) 889-4898
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GEORGIA HIGHLANDS MEDICAL SERVICES INC is a federally qualified health center (fqhc) clinic center in Cumming, GA. GEORGIA HIGHLANDS MEDICAL SERVICES INC NPI is 1194987412. The provider is registered as an organization entity type.
The provider Other Name Is Professional Park Family Practice.

The provider's business location address is:

100 PROFESSIONAL PARK DR
CUMMING, GA
ZIP 30040-380
Phone: (770) 889-4898
Fax: (770) 781-8971

The provider's authorized official is Linda P. Howell .
The authorized official title is Acting Chief Executive Officer/cfo and has the following contact phone number (770) 887-1668.

The enumeration date for this NPI number is 6/27/2008 and was last updated on 8/1/2012.

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
1	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)			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
1	111913	MEDICARE OSCAR/CERTIFICATION	GEORGIA
2	000192574F	MEDICAID	GEORGIA
3	300022400A	MEDICAID	GEORGIA

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: 11/14/2023

NPI Synchronization or Removal

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