NPIMap

Organization Active NPI

First Option Primary Care P.C.

  • Specialist
  • McDonough, GA
National Provider Identifier
1104999580
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
042379 Issued in GA
Legal business name
FIRST OPTION PRIMARY CARE P.C.
Practice address
347 Broadmoor Way
McDonough, GA 30253-4290
Phone
(770) 653-6804
Fax
(478) 464-1685
NPI assigned
Nov 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Samuel Obiorah, M.D.NPI 1265507818
Title
President
Phone
(770) 653-6804

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 042379 GA Primary

Addresses

Primary practice location

347 Broadmoor Way
McDonough, GA 30253-4290

Mailing address

347 Broadmoor Way
McDonough, GA 30253-4290
Phone (770) 653-6804

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1104999580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "347 BROADMOOR WAY",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302534290",
            "telephone_number": "770-653-6804",
            "fax_number": "478-464-1685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "347 BROADMOOR WAY",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302534290",
            "telephone_number": "770-653-6804",
            "fax_number": "478-464-1685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRST OPTION PRIMARY CARE P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "OBIORAH",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "770-653-6804",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "GA",
            "license": "042379",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McDonough, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.