WC Physician Group LLC

Primary specialty

Rural Health Clinic/CenterTaxonomy code 261QR1300X

Legal business name

WC PHYSICIAN GROUP LLC

Practice address

610 Sparta Rd
Sandersville, GA 31082

Phone

(478) 240-2000

NPI assigned

Feb 21, 2018

Last updated

Jun 27, 2023By 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

Carl Bredthauer

Title

Cfo

Phone

(478) 240-2102

Specialties & licenses 6

Addresses

Other names 1

• C/O Hospital Authority of Washington County Other name

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Hospital Authority of Washington County

  • Physical Therapy Clinic/Center
  • Sandersville, GA
  • NPI 1528619491

  Member Of

  NPD member

Locations

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.

• Jennifer Nunn Tarbutton, MD

  • Pediatrics Physician
  • Sandersville, GA
  • NPI 1487724357
  NPD (past)

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

{
    "created_epoch": "1519171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687824000000",
    "number": "1174024665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 SPARTA RD",
            "city": "SANDERSVILLE",
            "state": "GA",
            "postal_code": "310821860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 SPARTA RD",
            "city": "SANDERSVILLE",
            "state": "GA",
            "postal_code": "31082",
            "telephone_number": "478-240-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WC PHYSICIAN GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-21",
        "last_updated": "2023-06-27",
        "certification_date": "2023-06-27",
        "status": "A",
        "authorized_official_last_name": "BREDTHAUER",
        "authorized_official_first_name": "CARL",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "478-240-2102"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Hospitalist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "C/O Hospital Authority of Washington County",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Washington County Board of Health
• Washington County Emergency Medicine Group, LLC (Washington County Regional Medical Center)
• Washington County Internal Medicine, P.C.
• Washington County Regional Medical Center
• Latanya Watts, LPC
• Wellness Shuttle LLC
• Marvin Wells
• West Drug Co
• West Prescription Shop
• Lewis M. West, RPH

• Rural Health Clinic/Center in Sandersville, GA
• Providers in Sandersville, GA by specialty
• Rural Health Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2023; 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.