Upson Family Physicians, LC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

UPSON FAMILY PHYSICIANS, LC

Practice address

612 West Gordon Street
Suite C
Thomaston, GA 30286

Phone

(706) 647-7009

Fax

(706) 647-7014

NPI assigned

Jun 30, 2009

Last updated

Aug 12, 2020By 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

Mr. Jeggrey Tarrant

Title

Ceo

Phone

(706) 647-8111

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Practitioners 44

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.

• Claire Mameli Dipalma, PA-C

  • Physician Assistant
  • Commerce, GA
  • NPI 1912448960
  Medicare reassignment Care Compare group NPD
• Patricia Hall, MD

  • Family Medicine Physician
  • Thomaston, GA
  • NPI 1932404662
  Medicare reassignment Care Compare group NPD
• Laura Noel Moore, M.D.

  • Family Medicine Physician
  • Peachtree City, GA
  • NPI 1619926177
  Medicare reassignment Care Compare group NPD
• Christina Leigh Huntley Noguera, M.D.

  • Family Medicine Physician
  • Thomaston, GA
  • NPI 1952734436
  Medicare reassignment Care Compare group NPD
• Michael W Savelle Jr., FNP-C

  • Family Nurse Practitioner
  • Barnesville, GA
  • NPI 1568078483
  Medicare reassignment Care Compare group NPD
• Jasmine Donesha Shackelford, MD

  • Family Medicine Physician
  • Thomaston, GA
  • NPI 1629606264
  Medicare reassignment Care Compare group NPD
• Benjamin Paul Williams, MD

  • Internal Medicine Physician
  • Thomaston, GA
  • NPI 1508880352
  Medicare reassignment Care Compare group NPD
• Kelli Bryant, PA-C

  • Medical Physician Assistant
  • Griffin, GA
  • NPI 1912135427
  Medicare reassignment Care Compare group
• Sean P Parker, PA-C

  • Medical Physician Assistant
  • Thomaston, GA
  • NPI 1295819811
  Medicare reassignment Care Compare group
• George L Capo, DO

  • Family Medicine Physician
  • Thomaston, GA
  • NPI 1154330843
  Medicare reassignment NPD
• Meagan McDonnell Fussell, M.D.

  • Family Medicine Physician
  • Thomaston, GA
  • NPI 1134578669
  Medicare reassignment NPD
• Lisa Hammock, NP

  • Family Nurse Practitioner
  • Thomaston, GA
  • NPI 1366968729
  Medicare reassignment NPD

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

{
    "created_epoch": "1246320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597190400000",
    "number": "1083842918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1059",
            "address_2": "801 WEST GORDON STREET",
            "city": "THOMASTON",
            "state": "GA",
            "postal_code": "302860027",
            "telephone_number": "706-647-7009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "612 WEST GORDON STREET",
            "address_2": "SUITE C",
            "city": "THOMASTON",
            "state": "GA",
            "postal_code": "30286",
            "telephone_number": "706-647-7009",
            "fax_number": "706-647-7014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UPSON FAMILY PHYSICIANS, LC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-30",
        "last_updated": "2020-08-12",
        "certification_date": "2020-08-12",
        "status": "A",
        "authorized_official_last_name": "TARRANT",
        "authorized_official_first_name": "JEGGREY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "706-647-8111",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Upson County Hospital Inc. (Upson Regional Medical Center)
• Upson County Hospital Inc. (Upson Family Physicians)
• Upson County Hospital Inc. (Upson Family Medical Center)
• Upson Eye Clinic
• Upson Family Medical Center ,LLC
• Upson Medical Associates LLC
• Upson Medical Emergency Physicans, LLC
• Upson Orthopaedic Clinic
• Upson Surgical Associates, LLC
• Upson Womens Services LLC

• Family Medicine Physician in Thomaston, GA
• Providers in Thomaston, 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 Aug 12, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.