NPIMap

Organization Active NPI

Convenient Care MD, LLC

  • Clinic/Center
  • Milledgeville, GA
National Provider Identifier
1174859367
Registry record updated Oct 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
CONVENIENT CARE MD, LLC
Practice address
111 Fieldstone Dr Ste 114
Milledgeville, GA 31061-7108
Phone
(478) 414-1414
NPI assigned
Oct 23, 2009
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Mr. Alan Horton
Title
Chief Operating Officer
Phone
(478) 454-3850

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

National Provider Directory

Locations

111 Fieldstone Dr
Ste 114
Milledgeville, GA 31061
Phone (478) 414-1414

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X GA Primary

Addresses

NPPES NPI Registry

Primary practice location

111 Fieldstone Dr Ste 114
Milledgeville, GA 31061-7108

Mailing address

PO Box 690
Milledgeville, GA 31059-0690
Phone (478) 414-1414

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 23, 2009.

{
    "created_epoch": "1256256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1256256000000",
    "number": "1174859367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 690",
            "city": "MILLEDGEVILLE",
            "state": "GA",
            "postal_code": "310590690",
            "telephone_number": "478-414-1414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 FIELDSTONE DR STE 114",
            "city": "MILLEDGEVILLE",
            "state": "GA",
            "postal_code": "310617108",
            "telephone_number": "478-414-1414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONVENIENT CARE MD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-23",
        "last_updated": "2009-10-23",
        "status": "A",
        "authorized_official_last_name": "HORTON",
        "authorized_official_first_name": "ALAN",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "478-454-3850",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milledgeville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2009; 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.