Organization Active NPI

Family Care North, PC

  • Family Medicine Physician
  • Columbus, GA
National Provider Identifier
1194838706
Registry record updated Jan 19, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
FAMILY CARE NORTH, PC
Practice address
1921 Whittlesey Rd
Ste 200
Columbus, GA 31904-9213
Phone
(706) 494-1454
Fax
(706) 494-1455
NPI assigned
Aug 16, 2006
Last updated
Jan 19, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2017

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

Authorized official

Name
Linda M Chin, M.D.NPI 1780665208
Title
Owner/Cfo
Phone
(706) 494-1454

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 Physician 207Q00000X Primary

Addresses

Primary practice location

1921 Whittlesey Rd
Ste 200
Columbus, GA 31904-9213

Mailing address

PO Box 846
Fortson, GA 31808-0846
Phone (706) 494-1454

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101221001011 GA Part B Supplier - Clinic/Group Practice 5991993644 Receives reassigned benefits from 2 practitioners
Practice locations: Columbus, 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
11D0977395Family Care North1921 Whittlesey Road, Suite 200, Columbus, GA 31904Provider-performed microscopyAug 24, 2026

National Provider Directory

National Provider Directory

Locations

1921 Whittlesey Rd
Ste 200
Columbus, GA 31904
Phone (706) 494-7700

2425 Williams Rd
Ste B
Columbus, GA 31909

6501 Veterans Pkwy
#2A
Columbus, GA 31909
Phone (701) 649-4145

Practitioners & affiliated clinicians

Practitioners 2

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": "1155686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484784000000",
    "number": "1194838706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 846",
            "city": "FORTSON",
            "state": "GA",
            "postal_code": "318080846",
            "telephone_number": "706-494-1454",
            "fax_number": "706-494-1455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1921 WHITTLESEY RD",
            "address_2": "STE 200",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319049213",
            "telephone_number": "706-494-1454",
            "fax_number": "706-494-1455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY CARE NORTH, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-16",
        "last_updated": "2017-01-19",
        "status": "A",
        "authorized_official_last_name": "CHIN",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER/CFO",
        "authorized_official_telephone_number": "706-494-1454",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2017; 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.