Family Health Center of Adel, Inc.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

FAMILY HEALTH CENTER OF ADEL, INC.

Practice address

406 N Parrish Ave
Adel, GA 31620-2076

Phone

(229) 896-1672

Fax

(229) 896-1676

NPI assigned

Jul 14, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Jairaj Goberdhan, MDNPI 1194760744

Title

Owner

Phone

(229) 896-1672

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Family Health Center of Adel Doing business as

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

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

• Jairaj Goberdhan, M.D.

  • Family Medicine Physician
  • Adel, GA
  • NPI 1194760744

  Family Medicine, GA

  Medicare reassignment NPD Authorized official

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

CLIA laboratory certificates

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231804800000",
    "number": "1124044292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "406 N PARRISH AVE",
            "city": "ADEL",
            "state": "GA",
            "postal_code": "316202076",
            "telephone_number": "229-896-1672",
            "fax_number": "229-896-1676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "406 N PARRISH AVE",
            "city": "ADEL",
            "state": "GA",
            "postal_code": "316202076",
            "telephone_number": "229-896-1672",
            "fax_number": "229-896-1676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY HEALTH CENTER OF ADEL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-14",
        "last_updated": "2009-01-13",
        "status": "A",
        "authorized_official_last_name": "GOBERDHAN",
        "authorized_official_first_name": "JAIRAJ",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "229-896-1672",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "934774",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Health Center of Adel",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Dr. Kent Biehler LLC
• Caleb James Duggan
• Andrell Durden
• Valorie Latrice Edwards
• Empyrean Hospice of Georgia, LLC
• Thomas D Fausett Jr., MD
• Shelby Lynn Fulghum
• Georgia Pines Community Service Board
• Jairaj Goberdhan, M.D.
• Ivy Lancaster Godwin, FNP

• All providers in Adel, GA
• Family Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2009; 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.