Organization Active NPI

DRS Gentry Wellborn & McGhee

  • Family Medicine Physician
  • Carrollton, GA
National Provider Identifier
1184719965
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
DRS GENTRY WELLBORN & MCGHEE
Practice address
624 Dixie Street
Carrollton, GA 30117-3817
Phone
(770) 832-9593
Fax
(770) 832-0440
NPI assigned
Oct 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Marian T Horton
Title
Office Manager
Phone
(770) 832-9593

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

624 Dixie Street
Carrollton, GA 30117-3817

Mailing address

624 Dixie Street
Carrollton, GA 30117-3817
Phone (770) 832-9593

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1184719965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "624 DIXIE STREET",
            "city": "CARROLLTON",
            "state": "GA",
            "postal_code": "301173817",
            "telephone_number": "770-832-9593",
            "fax_number": "770-832-0440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "624 DIXIE STREET",
            "city": "CARROLLTON",
            "state": "GA",
            "postal_code": "301173817",
            "telephone_number": "770-832-9593",
            "fax_number": "770-832-0440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRS GENTRY WELLBORN & MCGHEE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HORTON",
        "authorized_official_first_name": "MARIAN",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "770-832-9593"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carrollton, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.