NPIMap

Organization Active NPI

Center for Family Medicine

  • Internal Medicine Physician
  • Trenton, GA
National Provider Identifier
1093771032
Registry record updated Jun 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
041753 Issued in GA
Legal business name
CENTER FOR FAMILY MEDICINE
Practice address
111 N Pine St
Trenton, GA 30752-2503
Phone
(706) 657-3360
Fax
(706) 657-4400
NPI assigned
Apr 26, 2006
Last updated
Jun 10, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2016

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

Authorized official

Name
Joann Plemons
Title
Billing Manager
Phone
(706) 657-3360

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 041753 GA Primary

Addresses

Primary practice location

111 N Pine St
Trenton, GA 30752-2503

Mailing address

PO Box 1077
Trenton, GA 30752-1077
Phone (706) 657-3360

Other identifiers 3

IdentifierTypeStateIssuer
4064254OtherTNBCBST
3863934MedicaidTN
300035685AMedicaidGA

National Provider Directory

National Provider Directory

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FFCEAD

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1146009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465516800000",
    "number": "1093771032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1077",
            "city": "TRENTON",
            "state": "GA",
            "postal_code": "307521077",
            "telephone_number": "706-657-3360",
            "fax_number": "706-657-4400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 N PINE ST",
            "city": "TRENTON",
            "state": "GA",
            "postal_code": "307522503",
            "telephone_number": "706-657-3360",
            "fax_number": "706-657-4400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR FAMILY MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-26",
        "last_updated": "2016-06-10",
        "status": "A",
        "authorized_official_last_name": "PLEMONS",
        "authorized_official_first_name": "JOANN",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "706-657-3360"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "041753",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBST",
            "identifier": "4064254",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3863934",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300035685A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Trenton, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2016; 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.