Organization Active NPI

Yonah Mountain Family Practice

Doing business as Country Way Family Practice

  • Family Medicine Physician
  • Cleveland, GA
National Provider Identifier
1194816280
Registry record updated Nov 28, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
YONAH MOUNTAIN FAMILY PRACTICE
Doing business as
Country Way Family Practice
Practice address
55 Cantrell Rd
Ste. 100
Cleveland, GA 30528
Phone
(706) 348-8763
Fax
(706) 348-1931
NPI assigned
Sep 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2007

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

Authorized official

Name
Dr. Denise M Workman, D.O.
Title
Owner/Physician
Phone
(678) 231-5999

Specialties & licenses 1

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

Addresses

Primary practice location

55 Cantrell Rd
Ste. 100
Cleveland, GA 30528

Mailing address

55 Cantrell Rd
Ste. 100
Cleveland, GA 30528
Phone (706) 348-8763

Other names 1

  • Country Way Family Practice Doing business as

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
11D1015743Yonah Mountain Family Practice PC55 Cantrell Road Suite 100, Cleveland, GA 30528Provider-performed microscopyAug 11, 2027

National Provider Directory

National Provider Directory

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/12387/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196208000000",
    "number": "1194816280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 CANTRELL RD",
            "address_2": "STE. 100",
            "city": "CLEVELAND",
            "state": "GA",
            "postal_code": "30528",
            "telephone_number": "706-348-8763",
            "fax_number": "706-348-1931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 CANTRELL RD",
            "address_2": "STE. 100",
            "city": "CLEVELAND",
            "state": "GA",
            "postal_code": "30528",
            "telephone_number": "706-348-8763",
            "fax_number": "706-348-1931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YONAH MOUNTAIN FAMILY PRACTICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-27",
        "last_updated": "2007-11-28",
        "status": "A",
        "authorized_official_last_name": "WORKMAN",
        "authorized_official_first_name": "DENISE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "678-231-5999",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Country Way Family Practice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cleveland, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.