Family Wellcare Center

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

028091 Issued in GA

Legal business name

FAMILY WELLCARE CENTER

Practice address

4215 Woodruff Rd
Columbus, GA 31904-6889

Phone

(706) 653-6080

Fax

(706) 653-6052

NPI assigned

Jan 30, 2008

Organization subpart

Yes

Parent organization

BEVERLEY ATOWNSENDAs reported in NPPES

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

Authorized official

Name

Dr. Beverley Ann Townsend, M.D.

Title

Owner/Physician

Phone

(706) 653-6080

Specialties & licenses 1

Addresses

Other identifiers 2

Part of

Family Wellcare Center

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

{
    "created_epoch": "1201651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201651200000",
    "number": "1043497274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4215 WOODRUFF RD",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319046889",
            "telephone_number": "706-653-6080",
            "fax_number": "706-653-6052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4215 WOODRUFF RD",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319046889",
            "telephone_number": "706-653-6080",
            "fax_number": "706-653-6052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY WELLCARE CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BEVERLEY ATOWNSEND",
        "enumeration_date": "2008-01-30",
        "last_updated": "2008-01-30",
        "status": "A",
        "authorized_official_last_name": "TOWNSEND",
        "authorized_official_first_name": "BEVERLEY",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "706-653-6080",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "GA",
            "license": "028091",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE",
            "identifier": "305491",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00396563I",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Family Eye Care of Columbus, Inc
• Family First Medical Care, P.C.
• Family Physicians of Columbus
• Family Preservation Center of Georgia Inc
• Family Vision
• Kabresha Laquoia Faniel
• Tracie Faniel
• Bobbi A. Farber, M.D.
• Pouria Farhadi, DMD
• Nathalie Nicole Faringthon

• Primary Care Clinic/Center in Columbus, GA
• Providers in Columbus, GA by specialty
• Primary Care Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 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.

Verify at the official NPI Registry.