Active NPI
Chronic Wound Consultants LLC
- Internal Medicine Physician
- Peachtree City, GA
National Provider Identifier
1144087446
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- CHRONIC WOUND CONSULTANTS LLC
- Practice address
- 21 Eastbrook BND Ste 218
Peachtree City, GA 30269-1546 - Phone
- (678) 967-5599
- Fax
- (678) 603-9843
- NPI assigned
- Mar 4, 2024
- Last updated
- Jun 26, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Paul Miller
- Title
- Ceo
- Phone
- (678) 699-4977
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
Primary practice location
21 Eastbrook BND Ste 218
Peachtree City, GA 30269-1546
Mailing address
3604 Hintocks Cir
Carmel, IN 46032-9148
Phone (678) 967-5599
National Provider Directory
National Provider DirectoryLocations
21 Eastbrook Bnd
Ste 218
Peachtree Cty, GA 30269
Phone (260) 407-8007
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Internal Medicine Physician
- Carmel, IN
- NPI 1417175068
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1709510400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1719360000000",
"number": "1144087446",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3604 HINTOCKS CIR",
"city": "CARMEL",
"state": "IN",
"postal_code": "460329148",
"telephone_number": "678-967-5599",
"fax_number": "678-603-9843"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21 EASTBROOK BND STE 218",
"city": "PEACHTREE CITY",
"state": "GA",
"postal_code": "302691546",
"telephone_number": "678-967-5599",
"fax_number": "678-603-9843"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHRONIC WOUND CONSULTANTS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-03-04",
"last_updated": "2024-06-26",
"certification_date": "2024-06-26",
"status": "A",
"authorized_official_last_name": "MILLER",
"authorized_official_first_name": "PAUL",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "678-699-4977"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Peachtree City, GA
- Kathleen Sauve Chiu, IBCLC, RLC
- CHMG of Griffin, LLC (Centerwell Home Health)
- Choi and Bang OD, PC (Eyexam of Peachtree City)
- Jae Matthew Choi, O.D.
- George Christensen, DDS
- City of Peachtree City (Peachtree City Fire Rescue)
- Claim Path Georgia, LLC
- Diaz Clark, FNP
- Judith Dianne Cleveland, PH.D.
- Andrea Delaine Cobb-McMullen
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.