Provider Type Icon

GEORGIA ONE MEDICAL SERVICES NPI 1417140831


NPI Information

NPI: 1417140831
Provider Name: GEORGIA ONE MEDICAL SERVICES
Classification: Clinic/Center - 261Q00000X
Entity Type: Organization
Address:
7193 DOUGLAS BLVD
SUITE 202
DOUGLASVILLE, GA
ZIP 30135
Phone: (770) 942-0101
Get Directions

GEORGIA ONE MEDICAL SERVICES is a clinic center in Douglasville, GA. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). GEORGIA ONE MEDICAL SERVICES NPI is 1417140831. The provider is registered as an organization entity type.

The provider's business location address is:

7193 DOUGLAS BLVD
SUITE 202
DOUGLASVILLE, GA
ZIP 30135-540
Phone: (770) 942-0101
Fax: (770) 942-2201

The provider's authorized official is Frantz Beneche .
The authorized official title is Director/ceo and has the following contact phone number (770) 942-0101.

The enumeration date for this NPI number is 8/20/2007 and was last updated on 8/20/2007.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261Q00000XClinic/CenterGEORGIAYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.