Full Plate Industries, LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

FULL PLATE INDUSTRIES, LLC

Practice address

320 Lanier Ave W Ste 200
Fayetteville, GA 30214-7443

Phone

(678) 469-4212

NPI assigned

Aug 24, 2022

Organization subpart

No

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

Authorized official

Name

Ms. Keisha Nicole Ford-Jenrette

Title

Principal

Phone

(678) 469-4212

Specialties & licenses 1

Addresses

Tax ID family

Full Plate Industries LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Full Plate Industries, LLC

  • Home Infusion Agency
  • Hampton, GA
  • NPI 1790557932
  NPD tax ID

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

{
    "created_epoch": "1661299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662422400000",
    "number": "1093434086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 DAMSON TRL",
            "city": "HAMPTON",
            "state": "GA",
            "postal_code": "302284929",
            "telephone_number": "678-469-4212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 LANIER AVE W STE 200",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302147443",
            "telephone_number": "678-469-4212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FULL PLATE INDUSTRIES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-24",
        "last_updated": "2022-09-06",
        "certification_date": "2022-09-06",
        "status": "A",
        "authorized_official_last_name": "FORD-JENRETTE",
        "authorized_official_first_name": "KEISHA",
        "authorized_official_middle_name": "NICOLE",
        "authorized_official_title_or_position": "PRINCIPAL",
        "authorized_official_telephone_number": "678-469-4212",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vanessa Laquetta Freeman, PA-C
• Jeannette I Frei, M.D.
• Timothee J Friesen, MD
• Nanna Kyerewa Frimpong, M.D.
• Charles Theodore Fryberger III, M.D.
• Full Plate Industries, LLC
• Denise Lynn Fye, MS CCC-SLP
• G Clay Taylor
• Ga Doctors of Optometry LLC
• Nick M Gabbay, DPM

• Family Medicine Physician in Fayetteville, GA
• Providers in Fayetteville, 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 Sep 6, 2022; 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.