NPIMap

Organization Active NPI

Caring Partners Medical Group, LLC

  • Family Medicine Physician
  • Atlanta, GA
National Provider Identifier
1114483831
Registry record updated Mar 19, 2019
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Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
CARING PARTNERS MEDICAL GROUP, LLC
Practice address
10 Glenlake Pkwy Ste 130
Atlanta, GA 30328-3495
Phone
(404) 580-0270
Fax
(678) 601-1365
NPI assigned
Feb 19, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2019

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

Authorized official

Name
Mr. Andrew M Lacy
Title
Manager
Phone
(678) 230-7095

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

10 Glenlake Pkwy Ste 130
Atlanta, GA 30328-3495

Mailing address

4436 Madison Woods Dr
Marietta, GA 30064-1595
Phone (678) 230-7095

National Provider Directory

National Provider Directory

Locations

30B Fox Chase
Cartersville, GA 30120
Phone (678) 719-8034

NPI Registry JSON

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

{
    "created_epoch": "1550534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1552953600000",
    "number": "1114483831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4436 MADISON WOODS DR",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300641595",
            "telephone_number": "678-230-7095",
            "fax_number": "678-601-1365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 GLENLAKE PKWY STE 130",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303283495",
            "telephone_number": "404-580-0270",
            "fax_number": "678-601-1365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARING PARTNERS MEDICAL GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-19",
        "last_updated": "2019-03-19",
        "status": "A",
        "authorized_official_last_name": "LACY",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "678-230-7095",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2019; 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.