Organization Active NPI

Lake Hartwell Family Medicine, LLC

  • Family Medicine Physician
  • Hartwell, GA
National Provider Identifier
1003015900
Registry record updated Sep 6, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
058820 Issued in GA
Legal business name
LAKE HARTWELL FAMILY MEDICINE, LLC
Practice address
162 Cade St
Hartwell, GA 30643-1815
Phone
(706) 856-6970
Fax
(706) 856-6972
NPI assigned
Jul 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Wayne Scott, DO
Title
Physician/Owner
Phone
(706) 856-6970

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 058820 GA Primary

Addresses

Primary practice location

162 Cade St
Hartwell, GA 30643-1815

Mailing address

162 Cade St
Hartwell, GA 30643-1815
Phone (706) 856-6970

National Provider Directory

National Provider Directory

Locations

162 Cade St
Hartwell, GA 30643
Phone (706) 376-7677

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1184198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189036800000",
    "number": "1003015900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "162 CADE ST",
            "city": "HARTWELL",
            "state": "GA",
            "postal_code": "306431815",
            "telephone_number": "706-856-6970",
            "fax_number": "706-856-6972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "162 CADE ST",
            "city": "HARTWELL",
            "state": "GA",
            "postal_code": "306431815",
            "telephone_number": "706-856-6970",
            "fax_number": "706-856-6972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE HARTWELL FAMILY MEDICINE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-12",
        "last_updated": "2007-09-06",
        "status": "A",
        "authorized_official_last_name": "SCOTT",
        "authorized_official_first_name": "WAYNE",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "706-856-6970",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "058820",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hartwell, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.