Lagrange Family Medicine

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

LAGRANGE FAMILY MEDICINE

Practice address

303 Medical Dr
Ste 406
Lagrange, GA 30240-4169

Phone

(706) 845-7029

Fax

(706) 812-1797

NPI assigned

Dec 12, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Rashawn Mann Blakeney, MD

Title

President

Phone

(706) 845-7029

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1197417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197417600000",
    "number": "1124201249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 MEDICAL DR",
            "address_2": "STE 406",
            "city": "LAGRANGE",
            "state": "GA",
            "postal_code": "302404169",
            "telephone_number": "706-845-7029",
            "fax_number": "706-812-1797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 MEDICAL DR",
            "address_2": "STE 406",
            "city": "LAGRANGE",
            "state": "GA",
            "postal_code": "302404169",
            "telephone_number": "706-845-7029",
            "fax_number": "706-812-1797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAGRANGE FAMILY MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-12",
        "last_updated": "2007-12-12",
        "status": "A",
        "authorized_official_last_name": "BLAKENEY",
        "authorized_official_first_name": "RASHAWN",
        "authorized_official_middle_name": "MANN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "706-845-7029",
        "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": [],
    "endpoints": [],
    "other_names": []
}

• Lagrange College
• Lagrange Emergency Physicians, LLC
• Lagrange Eye, LLC
• Lagrange Family Counseling, LLC
• Lagrange Family Dental Center
• Lagrange Foot Clinic PC
• Lagrange Internal Medicine, PC
• Lagrange Med Center, LLC
• Lagrange Neurology Corporation
• Lagrange Obstetrics & Gynecology

• Family Medicine Physician in Lagrange, GA
• Providers in Lagrange, GA by specialty
• Family Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2007; 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.