NPIMap

Organization Active NPI

Family Care Group of Thomson, Inc

Doing business as Family Care Group

  • Family Medicine Physician
  • Lincolnton, GA
National Provider Identifier
1174898878
Registry record updated Mar 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
GA032327 Issued in GA
Legal business name
FAMILY CARE GROUP OF THOMSON, INC
Doing business as
Family Care Group
Practice address
123 N Washington St
Lincolnton, GA 30817
Phone
(706) 359-6070
Fax
(706) 359-7370
NPI assigned
Mar 13, 2012
Last updated
Mar 13, 2012By the provider in NPPES
Organization subpart
Yes
Parent organization
FAMILY CARE GROUP OF THOMSON, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 13, 2012

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

Authorized official

Name
Dr. Daryl C Wiley, MDNPI 1508859448
Title
President
Phone
(706) 595-1090

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X GA032327 GA Primary

Addresses

Primary practice location

123 N Washington St
Lincolnton, GA 30817

Mailing address

PO Box 780
Thomson, GA 30824-0780
Phone (706) 595-1090

Other names 1

  • FAMILY CARE GROUP Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Family Care Group Inc2 organizations share this tax ID, including this one
Part of
Family Care Group Inc

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

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.

NPI Registry JSON

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

{
    "created_epoch": "1331596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331596800000",
    "number": "1174898878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 780",
            "city": "THOMSON",
            "state": "GA",
            "postal_code": "308240780",
            "telephone_number": "706-595-1090",
            "fax_number": "706-595-6010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 N WASHINGTON ST",
            "city": "LINCOLNTON",
            "state": "GA",
            "postal_code": "30817",
            "telephone_number": "706-359-6070",
            "fax_number": "706-359-7370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY CARE GROUP OF THOMSON, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FAMILY CARE GROUP OF THOMSON, INC.",
        "enumeration_date": "2012-03-13",
        "last_updated": "2012-03-13",
        "status": "A",
        "authorized_official_last_name": "WILEY",
        "authorized_official_first_name": "DARYL",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "706-595-1090",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "GA032327",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FAMILY CARE GROUP",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lincolnton, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2012; 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.