NPIMap

Organization Active NPI

Redmond Physician Practice Company

  • Family Medicine Physician
  • Rome, GA
National Provider Identifier
1023007424
Registry record updated Dec 10, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
REDMOND PHYSICIAN PRACTICE COMPANY
Doing business as
Redmond Family Care Center at East Rome
Practice address
715 E 2ND Ave SW
Rome, GA 30161-6148
Phone
(706) 235-1102
Fax
(706) 235-7188
NPI assigned
Oct 18, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2007

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

Authorized official

Name
Mr. Chuck Locke
Title
VP
Phone
(615) 373-7604

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

715 E 2ND Ave SW
Rome, GA 30161-6148

Mailing address

715 E 2ND Ave SW
Rome, GA 30161-6148
Phone (706) 235-1102

Other names 1

  • Redmond Family Care Center at East Rome Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Randolph P Sumner MD Family Medicine5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1129593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197244800000",
    "number": "1023007424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "715 E 2ND AVE SW",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301616148",
            "telephone_number": "706-235-1102",
            "fax_number": "706-235-7188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 E 2ND AVE SW",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301616148",
            "telephone_number": "706-235-1102",
            "fax_number": "706-235-7188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REDMOND PHYSICIAN PRACTICE COMPANY",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-18",
        "last_updated": "2007-12-10",
        "status": "A",
        "authorized_official_last_name": "LOCKE",
        "authorized_official_first_name": "CHUCK",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "615-373-7604",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Redmond Family Care Center at East Rome",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rome, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 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.