Active NPI
Middle Georgia Family Medicine,LLC
- Family Medicine Physician
- Eastman, GA
National Provider Identifier
1013184407
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- MIDDLE GEORGIA FAMILY MEDICINE,LLC
- Practice address
- 829 Plaza Ave
Eastman, GA 31023-6757 - Phone
- (478) 374-9309
- Fax
- (478) 374-3310
- NPI assigned
- May 14, 2008
- Last updated
- May 14, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Mike Hester
- Title
- Dodge County Hospital Cfo
- Phone
- (478) 448-4050
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | NU | Primary |
Addresses
Primary practice location
829 Plaza Ave
Eastman, GA 31023-6757
Mailing address
829 Plaza Ave
Eastman, GA 31023-6757
Phone (478) 374-9309
Other names 1
- Middle Georgia Family Medicine
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1210723200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1210723200000",
"number": "1013184407",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "829 PLAZA AVE",
"city": "EASTMAN",
"state": "GA",
"postal_code": "310236757",
"telephone_number": "478-374-9309",
"fax_number": "478-374-3310"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "829 PLAZA AVE",
"city": "EASTMAN",
"state": "GA",
"postal_code": "310236757",
"telephone_number": "478-374-9309",
"fax_number": "478-374-3310"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MIDDLE GEORGIA FAMILY MEDICINE,LLC",
"organizational_subpart": "NO",
"enumeration_date": "2008-05-14",
"last_updated": "2008-05-14",
"status": "A",
"authorized_official_last_name": "HESTER",
"authorized_official_first_name": "MIKE",
"authorized_official_title_or_position": "DODGE COUNTY HOSPITAL CFO",
"authorized_official_telephone_number": "478-448-4050",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Middle Georgia Family Medicine",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Eastman, GA
- Med Cross Imaging LLC
- Medical Center Prescription Shop (Prescription Shop)
- Medical Center Prescription Shop
- Mid Georgia Total Care LLC
- Middle Ga Family Practice LLC
- Middle Georgia Nursing Home, Inc
- Middle Georgia Nursing Home, Inc. (Middle Georgia Nursing Home)
- Middle Georgia Sleep & Wellness Center, LLC
- Middle Georgia Total Health Center, LLC
- Bart Steele Milner, P.A.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.