Medical Care of Georgia, P.C.

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

050647 Issued in GA

Legal business name

MEDICAL CARE OF GEORGIA, P.C.

Practice address

50 Medical LN
Canton, GA 30114-2417

Phone

(770) 345-2300

Fax

(770) 345-2330

NPI assigned

Feb 25, 2008

Last updated

Nov 16, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Alexander Tkeshelashvili Kessler, M.D.

Title

President

Phone

(770) 345-2300

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

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

CLIA laboratory certificates

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/DBJGAA

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Alexander Tkeshelashvili Kessler, M.D.

  • Internal Medicine Physician
  • Canton, GA
  • NPI 1518949528
  Medicare reassignment NPD
• Tina Marie Barajas, FNP-C

  • Family Nurse Practitioner
  • Jasper, GA
  • NPI 1215522990
  NPD
• Lisa Ann Flint, APRN

  • Nurse Practitioner
  • Jasper, GA
  • NPI 1235624347
  NPD (past)
• Leigh Catherine Maddox, APRN

  • Family Nurse Practitioner
  • Canton, GA
  • NPI 1811131204
  NPD (past)

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

{
    "created_epoch": "1203897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447632000000",
    "number": "1124297163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 MEDICAL LN",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "301142417",
            "telephone_number": "770-345-2300",
            "fax_number": "770-345-2330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 MEDICAL LN",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "301142417",
            "telephone_number": "770-345-2300",
            "fax_number": "770-345-2330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL CARE OF GEORGIA, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-25",
        "last_updated": "2015-11-16",
        "status": "A",
        "authorized_official_last_name": "TKESHELASHVILI KESSLER",
        "authorized_official_first_name": "ALEXANDER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "770-345-2300",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "GA",
            "license": "050647",
            "primary": false
        },
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "GA",
            "license": "050647",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000958009B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Alba McTier, PT, DPT
• Elmira McWilliams
• Meadow Winds Counseling Services
• Medical Affiliates Inc
• Medical Associates Professional Services, LLC
• Samer Mehio, MD
• Irene Meiller
• John C Meiners Jr., DC
• Tenisha L. Meko, NP-C
• Matthew Meleka, D.O.

• Medical Specialty Clinic/Center in Canton, GA
• Providers in Canton, GA by specialty
• Medical Specialty Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2015; 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.