West Georgia Health Physicians Inc

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

WEST GEORGIA HEALTH PHYSICIANS INC

Practice address

1514 Vernon Rd
Lagrange, GA 30240-4131

Phone

(706) 882-1411

NPI assigned

Apr 5, 2011

Last updated

Aug 26, 2013By 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

Mr. Gerald N Fulks

Title

Director

Phone

(706) 882-1411

Specialties & licenses 10

Addresses

Locations

Practitioners 27

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.

• Tiffany Brush, NP-C

  • Family Nurse Practitioner
  • Gainesville, GA
  • NPI 1407333115
  NPD (past)
• Cheryl Taylor Cliff, M.D.

  • Pediatrics Physician
  • Vidalia, GA
  • NPI 1619066826
  NPD (past)
• James Wesley Cullison, MD

  • Urology Physician
  • Carrollton, GA
  • NPI 1194787408
  NPD (past)
• James Anfernee Cutts, PA-C

  • Physician Assistant
  • Lagrange, GA
  • NPI 1578257903
  NPD (past)
• Brandi B Daniel, PA

  • Medical Physician Assistant
  • Lagrange, GA
  • NPI 1437478948
  NPD (past)
• Justin Fincher, MD

  • Urology Physician
  • Lagrange, GA
  • NPI 1053734517
  NPD (past)
• Richard Freeman, M.D.

  • Radiation Oncology Physician
  • Lagrange, GA
  • NPI 1336140607
  NPD (past)
• Ashley Rose Higby, PA

  • Physician Assistant
  • Lagrange, GA
  • NPI 1679112387
  NPD (past)
• Vivian M Hutton, PA-C

  • Medical Physician Assistant
  • Lagrange, GA
  • NPI 1477548626
  NPD (past)
• Irene A Omotoso, MD

  • Internal Medicine Physician
  • Peachtree City, GA
  • NPI 1205848785
  NPD (past)
• David J Riden, MD

  • Pediatric Urology Physician
  • Marietta, GA
  • NPI 1871588277
  NPD (past)
• Frederick Schnell Jr., M.D.

  • Radiation Oncology Physician
  • Atlanta, GA
  • NPI 1487638607
  NPD (past)

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

{
    "created_epoch": "1301961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377475200000",
    "number": "1164711792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1483",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319021483",
            "telephone_number": "706-882-1411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1514 VERNON RD",
            "city": "LAGRANGE",
            "state": "GA",
            "postal_code": "302404131",
            "telephone_number": "706-882-1411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST GEORGIA HEALTH PHYSICIANS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-05",
        "last_updated": "2013-08-26",
        "status": "A",
        "authorized_official_last_name": "FULKS",
        "authorized_official_first_name": "GERALD",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "706-882-1411",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Surgery Physician in Lagrange, GA
• Providers in Lagrange, GA by specialty
• Surgery Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2013; 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.