NPIMap

Organization Active NPI

Our Family Health Center

  • Family Medicine Physician
  • Monroe, GA
National Provider Identifier
1184879843
Registry record updated Sep 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
061639 Issued in GA
Legal business name
OUR FAMILY HEALTH CENTER
Practice address
1016 E Spring St
Monroe, GA 30655-2469
Phone
(770) 464-0280
Fax
(770) 464-0233
NPI assigned
Nov 22, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2015

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

Authorized official

Name
Michelle Lynn Plaster, M.D.NPI 1073762720
Title
Physician/Director
Phone
(770) 464-0280

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 061639 GA Primary

Addresses

Primary practice location

1016 E Spring St
Monroe, GA 30655-2469

Mailing address

1016 E Spring St
Monroe, GA 30655-2469
Phone (770) 464-0280

Other identifiers 1

IdentifierTypeStateIssuer
514756688AMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090115000291 GA Part B Supplier - Clinic/Group Practice 7214090364 Receives reassigned benefits from 17 practitioners
Practice locations: Monroe, GA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
11D1093637Our Family Health Center1016 E Spring St, Monroe, GA 30655Certificate of waiverDec 28, 2026

National Provider Directory

National Provider Directory

Locations

761 N Cherokee Rd
Social Circle, GA 30025
Phone (770) 464-4434

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EFIGAA

Practitioners & affiliated clinicians

Practitioners 18

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

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1227312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441324800000",
    "number": "1184879843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1016 E SPRING ST",
            "city": "MONROE",
            "state": "GA",
            "postal_code": "306552469",
            "telephone_number": "770-464-0280",
            "fax_number": "770-464-0233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1016 E SPRING ST",
            "city": "MONROE",
            "state": "GA",
            "postal_code": "306552469",
            "telephone_number": "770-464-0280",
            "fax_number": "770-464-0233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OUR FAMILY HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-22",
        "last_updated": "2015-09-04",
        "status": "A",
        "authorized_official_last_name": "PLASTER",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "PHYSICIAN/DIRECTOR",
        "authorized_official_telephone_number": "770-464-0280",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "061639",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "514756688A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.