Mid Georgia Total Care LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

MID GEORGIA TOTAL CARE LLC

Practice address

1111 Griffin Ave
Ste 1B
Eastman, GA 31023-9104

Phone

(478) 374-8998

Fax

(478) 374-8525

NPI assigned

Mar 27, 2015

Last updated

Mar 30, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kevin Bierschenk

Title

Ceo

Phone

(478) 344-2550

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Dodge County Hospital Authority

  dba Dodge County Hospital

  • Psychiatric Hospital Unit
  • Eastman, GA
  • NPI 1881010239

  Member Of

  NPD member

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/CEBDAD

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Blake E Milner, M.D.

  • Family Medicine Physician
  • Eastman, GA
  • NPI 1336256015
  Medicare reassignment Care Compare group NPD
• Jennifer Elizabeth Brown

  • Family Nurse Practitioner
  • Eastman, GA
  • NPI 1528776861
  Medicare reassignment Care Compare group
• Bart Steele Milner, P.A.

  • Medical Physician Assistant
  • Eastman, GA
  • NPI 1811222706
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1427414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427673600000",
    "number": "1003200015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 GRIFFIN AVE",
            "address_2": "STE 1B",
            "city": "EASTMAN",
            "state": "GA",
            "postal_code": "310239104",
            "telephone_number": "478-374-8998",
            "fax_number": "478-374-8525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 GRIFFIN AVE",
            "address_2": "STE 1B",
            "city": "EASTMAN",
            "state": "GA",
            "postal_code": "310239104",
            "telephone_number": "478-374-8998",
            "fax_number": "478-374-8525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID GEORGIA TOTAL CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-27",
        "last_updated": "2015-03-30",
        "status": "A",
        "authorized_official_last_name": "BIERSCHENK",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "478-344-2550"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas Milton Meadows, M.D.
• Katrina Dion Means, PHARMACIST
• Med Cross Imaging LLC
• Medical Center Prescription Shop (Prescription Shop)
• Medical Center Prescription Shop
• Middle Ga Family Practice LLC
• Middle Georgia Family Medicine,LLC
• Middle Georgia Nursing Home, Inc
• Middle Georgia Nursing Home, Inc. (Middle Georgia Nursing Home)
• Middle Georgia Sleep & Wellness Center, LLC

• Family Medicine Physician in Eastman, GA
• Providers in Eastman, GA by specialty
• Family Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.