Organization Active NPI

Georgia Medical Consultants, P.C.

Doing business as Fayette Family Medicine

  • Primary Care Clinic/Center
  • Fayetteville, GA
National Provider Identifier
1093020240
Registry record updated Oct 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
GEORGIA MEDICAL CONSULTANTS, P.C.
Doing business as
Fayette Family Medicine
Practice address
101 Devant Street
Suite 105
Fayetteville, GA 30214-7636
Phone
(678) 519-3189
NPI assigned
Aug 12, 2010
Last updated
Oct 7, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2011

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

Authorized official

Name
Dr. Floyd Soriano, M.D.
Title
President and Ceo
Phone
(678) 519-3189

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X GA Primary

Addresses

Primary practice location

101 Devant Street
Suite 105
Fayetteville, GA 30214-7636

Mailing address

101 Devant Street
Suite 105
Fayetteville, GA 30214-7636
Phone (678) 519-3189

Other names 1

  • Fayette Family Medicine Doing business as

National Provider Directory

National Provider Directory

Locations

500 Lanier Ave W
Ste 913
Fayetteville, GA 30214
Phone (770) 719-8858

NPI Registry JSON

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

{
    "created_epoch": "1281571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317945600000",
    "number": "1093020240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 DEVANT STREET",
            "address_2": "SUITE 105",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302147636",
            "telephone_number": "678-519-3189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 DEVANT STREET",
            "address_2": "SUITE 105",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302147636",
            "telephone_number": "678-519-3189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGIA MEDICAL CONSULTANTS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-12",
        "last_updated": "2011-10-07",
        "status": "A",
        "authorized_official_last_name": "SORIANO",
        "authorized_official_first_name": "FLOYD",
        "authorized_official_title_or_position": "PRESIDENT AND CEO",
        "authorized_official_telephone_number": "678-519-3189",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fayette Family Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fayetteville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2011; 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.