NOVA FAMILY CARE NPI 1871508606

NPI Information

NPI: 1871508606
Provider Name: NOVA FAMILY CARE
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
807 S ISABELLA ST
SUITE C
SYLVESTER, GA
ZIP 31791
Phone: (229) 776-9143
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NOVA FAMILY CARE is a family medicine in Sylvester, 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. NOVA FAMILY CARE NPI is 1871508606. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

807 S ISABELLA ST
SUITE C
SYLVESTER, GA
ZIP 31791-554
Phone: (229) 776-9143

The provider's authorized official is Martha Louise Cooper .
The authorized official title is Owner and has the following contact phone number (229) 776-9143.

The enumeration date for this NPI number is 7/30/2006 and was last updated on 4/18/2008.

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		BC4653247	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	DD6608	OTHER	GEORGIA	RAILROAD MEDICARE
2	GRP7242	MEDICARE ID-TYPE UNSPECIFIED	GEORGIA	MEDICARE GROUP NUMBER
3	000689279E	MEDICAID	GEORGIA
4	G21585	MEDICARE UPIN	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: 5/5/2024

NPI Synchronization or Removal

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