First Doctors Weight Loss

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

114757 Issued in GA

Legal business name

FIRST DOCTORS WEIGHT LOSS

Practice address

6794 Bill Carruth Pkwy
Hiram, GA 30141-3770

Phone

(678) 567-5918

NPI assigned

Feb 22, 2016

Organization subpart

No

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

Authorized official

Name

Dr. T. Wayne Bloodworth, M.D.

Title

President

Phone

(678) 567-5917

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Thomas Wayne Bloodworth, M.D.

  • Obstetrics & Gynecology Physician
  • Hiram, GA
  • NPI 1619280278
  NPD (past)

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

{
    "created_epoch": "1456099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456099200000",
    "number": "1104285980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6794 BILL CARRUTH PKWY",
            "city": "HIRAM",
            "state": "GA",
            "postal_code": "301413770",
            "telephone_number": "678-567-5918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6794 BILL CARRUTH PKWY",
            "city": "HIRAM",
            "state": "GA",
            "postal_code": "301413770",
            "telephone_number": "678-567-5918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRST DOCTORS WEIGHT LOSS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-22",
        "last_updated": "2016-02-22",
        "status": "A",
        "authorized_official_last_name": "BLOODWORTH",
        "authorized_official_first_name": "T.",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "678-567-5917",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "GA",
            "license": "114757",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Seneth Faugno, OT/L
• Cameryn Faulkner
• Adam Ferro, MD
• David M. Finkelman, M.D.
• Heather Louise Finley, PA-C
• Firsthealth Homecare Services LLC
• Flexforce Medical Supply LLC
• Jasmine Fontenot-Harrell, LMFT
• William L Forehand III, M.D.
• Sarah Forrestal, PA-C

• Primary Care Clinic/Center in Hiram, GA
• Providers in Hiram, GA by specialty
• Primary Care Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 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.