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REDMOND PHYSICIAN PRACTICE COMPANY NPI 1619966025


NPI Information

NPI: 1619966025
Provider Name: REDMOND PHYSICIAN PRACTICE COMPANY

Doing Business As: REDMOND FAMILY CARE CENTER AT TRION

Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 11D0935959

Address:
160 CENTRAL AVE
TRION, GA
ZIP 30753
Phone: (706) 734-7302
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REDMOND PHYSICIAN PRACTICE COMPANY is a family medicine in Trion, 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 1619966025. 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 At Trion.

The provider's business location address is:

160 CENTRAL AVE
TRION, GA
ZIP 30753-125
Phone: (706) 734-7302
Fax: (706) 734-7356

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

The CLIA number assigned to this NPI record is 11D0935959 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/18/2005 and was last updated on 12/12/2007.


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
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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther 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: 11/14/2023

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.