REDMOND PHYSICIAN PRACTICE COMPANY NPI 1356330583

NPI Information

  • NPI: 1356330583
  • Provider Name: REDMOND PHYSICIAN PRACTICE COMPANY
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • Doing Business As: REDMOND FAMILY CARE CENTER TRION IN SHANNON
  • Address: 5865 NEW CALHOUN HIGHWAY, N.E.
    SHANNON, GA
    ZIP 30172
  • Phone: (706) 236-1919

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NPI Details

REDMOND PHYSICIAN PRACTICE COMPANY is a family medicine in Shannon, 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. REDMOND PHYSICIAN PRACTICE COMPANY NPI is 1356330583. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Redmond Family Care Center Trion In Shannon.

The provider's business location address is:

5865 NEW CALHOUN HIGHWAY, N.E.
SHANNON, GA
ZIP 30172
Phone: (706) 236-1919
Fax: (706) 236-1919

The provider's authorized official is Chuck Locke .
The authorized official title is Director and has the following contact phone number (615) 373-7604.

The enumeration date for this NPI number is 10/20/2005 and was last updated on 12/10/2007.

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
1207Q00000XFamily MedicineYes

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
1GRP2870MEDICARE PINGEORGIA
2CB6391MEDICARE PIN

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: 3/30/2025

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