Organization Active NPI

West Ga Family Medicine, PC

  • Family Medicine Physician
  • Hiram, GA
National Provider Identifier
1093974578
Registry record updated Sep 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
045867 Issued in GA
Legal business name
WEST GA FAMILY MEDICINE, PC
Practice address
1899 Lake Rd
212
Hiram, GA 30141-2291
Phone
(770) 222-5488
Fax
(770) 222-5491
NPI assigned
Jun 9, 2008
Last updated
Sep 17, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2008

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

Authorized official

Name
Terry Newton Langford, D.O.
Title
President
Phone
(770) 222-5488

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 045867 GA Primary

Addresses

Primary practice location

1899 Lake Rd
212
Hiram, GA 30141-2291

Mailing address

1899 Lake Rd
212
Hiram, GA 30141-2291
Phone (770) 222-5488

Other identifiers 1

IdentifierTypeStateIssuer
000816923CMedicaidGA

National Provider Directory

National Provider Directory

Locations

1899 Lake Rd
Ste 212
Hiram, GA 30141
Phone (770) 222-5488

Practitioners & affiliated clinicians

Practitioners 2

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": "1212969600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221609600000",
    "number": "1093974578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1899 LAKE RD",
            "address_2": "212",
            "city": "HIRAM",
            "state": "GA",
            "postal_code": "301412291",
            "telephone_number": "770-222-5488",
            "fax_number": "770-222-5491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1899 LAKE RD",
            "address_2": "212",
            "city": "HIRAM",
            "state": "GA",
            "postal_code": "301412291",
            "telephone_number": "770-222-5488",
            "fax_number": "770-222-5491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST GA FAMILY MEDICINE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-09",
        "last_updated": "2008-09-17",
        "status": "A",
        "authorized_official_last_name": "LANGFORD",
        "authorized_official_first_name": "TERRY",
        "authorized_official_middle_name": "NEWTON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "770-222-5488",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "045867",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000816923C",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hiram, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2008; 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.