Organization Active NPI

John E. West, M.D., P.C.

  • Family Medicine Physician
  • Snellville, GA
National Provider Identifier
1124126420
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
028915 Issued in GA
Legal business name
JOHN E. WEST, M.D., P.C.
Practice address
2295 Henry Clower Blvd
Suite 101
Snellville, GA 30078-5707
Phone
(770) 972-4871
Fax
(770) 979-3782
NPI assigned
Sep 20, 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
Mrs. Marian Lee West
Title
Office Administrator
Phone
(770) 972-4871

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 028915 GA Primary

Addresses

Primary practice location

2295 Henry Clower Blvd
Suite 101
Snellville, GA 30078-5707

Mailing address

2295 Henry Clower Blvd
Suite 101
Snellville, GA 30078-5707
Phone (770) 972-4871

National Provider Directory

National Provider Directory

Locations

2295 Henry Clower Blvd
Ste 101
Snellville, GA 30078
Phone (770) 972-4871

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": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1124126420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2295 HENRY CLOWER BLVD",
            "address_2": "SUITE 101",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300785707",
            "telephone_number": "770-972-4871",
            "fax_number": "770-979-3782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2295 HENRY CLOWER BLVD",
            "address_2": "SUITE 101",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300785707",
            "telephone_number": "770-972-4871",
            "fax_number": "770-979-3782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN E. WEST, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WEST",
        "authorized_official_first_name": "MARIAN",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OFFICE ADMINISTRATOR",
        "authorized_official_telephone_number": "770-972-4871",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "028915",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Snellville, 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.