Medical Center Family Practice

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

030139 Issued in GA

Legal business name

MEDICAL CENTER FAMILY PRACTICE

Practice address

45 Medical Center CT
Commerce, GA 30529-1085

Phone

(706) 335-5155

Fax

(706) 335-5256

NPI assigned

Jul 13, 2007

Last updated

Jul 13, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Robert Marshburn, MDNPI 1629184395

Title

President

Phone

(706) 335-5155

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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.

• Robert P Marshburn, MD

  • Family Medicine Physician
  • Commerce, GA
  • NPI 1629184395
  Medicare reassignment NPD Authorized official
• Dennis Alva Yelverton, PA

  • Physician Assistant
  • Atlanta, GA
  • NPI 1790743052
  NPD (past)

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

{
    "created_epoch": "1184284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184284800000",
    "number": "1104025717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 MEDICAL CENTER CT",
            "city": "COMMERCE",
            "state": "GA",
            "postal_code": "305291085",
            "telephone_number": "706-335-5155",
            "fax_number": "706-335-5256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 MEDICAL CENTER CT",
            "city": "COMMERCE",
            "state": "GA",
            "postal_code": "305291085",
            "telephone_number": "706-335-5155",
            "fax_number": "706-335-5256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL CENTER FAMILY PRACTICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-13",
        "last_updated": "2007-07-13",
        "status": "A",
        "authorized_official_last_name": "MARSHBURN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "706-335-5155",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "030139",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00410484A",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPIN",
            "identifier": "D46015",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jason Thomas Lue Yen, DDS
• Robert P Marshburn, MD
• Thomas Clayton Martin Jr., PHARMD
• Robert F McWhorter, PHARM.D.
• Meadows Surgical Arts
• Medlink Georgia Inc
• Medlink Georgia, Inc (MedLink Commerce)
• Medlink Georgia, Inc
• Medlink Georgia, Inc (MedLink Commerce Family Foot Clinic)
• Medlink Georgia, Inc (MedLink Pharmacy - Banks)

• Family Medicine Physician in Commerce, GA
• Providers in Commerce, 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 Jul 13, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.