Active NPI
West Ga Family Medicine, PC
- Family Medicine Physician
- Hiram, GA
National Provider Identifier
1093974578
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 045867
- 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, 2008
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000816923C | Medicaid | GA |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Family Nurse Practitioner
- Acworth, GA
- NPI 1790354173
-
- Nurse Practitioner
- Swainsboro, GA
- NPI 1972888477
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
- Wellstar Medical Group, LLC (WellStar East Paulding Pediatric Center)
- Wellstar Paulding Medical Center, Inc. (WellStar Paulding Hospital)
- Wellstar Paulding Surgical Associates, LLC
- Wellstreet of Georgia PC
- Katie Werts, LDO
- West Georgia Dentistry for Children
- West Georgia Wellness Center LLC
- Brittany McCauley West
- Wgis, Inc. (West Georgia Imaging)
- Timothy James Whailen, LCSW
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.