Middle Georgia Health Care

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

MIDDLE GEORGIA HEALTH CARE

Practice address

610 Hardeman Ave
Fort Valley, GA 31030-3438

Phone

(229) 395-6949

NPI assigned

Oct 20, 2017

Last updated

Oct 20, 2017By 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

Mrs. Daphne Young-Peterson

Title

President

Phone

(229) 395-6949

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1508457600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1508457600000",
    "number": "1053822742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 HARDEMAN AVE",
            "city": "FORT VALLEY",
            "state": "GA",
            "postal_code": "310303438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 HARDEMAN AVE",
            "city": "FORT VALLEY",
            "state": "GA",
            "postal_code": "310303438",
            "telephone_number": "229-395-6949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDDLE GEORGIA HEALTH CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-20",
        "last_updated": "2017-10-20",
        "status": "A",
        "authorized_official_last_name": "YOUNG-PETERSON",
        "authorized_official_first_name": "DAPHNE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "229-395-6949",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "177F00000X",
            "taxonomy_group": "",
            "desc": "Lodging",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251F00000X",
            "taxonomy_group": "",
            "desc": "Home Infusion",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Robert L. Nelson, M.D.

• In Home Supportive Care Agency in Fort Valley, GA
• Providers in Fort Valley, GA by specialty
• In Home Supportive Care Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2017; 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.