Active NPI
TMC Carrollton Family Healthcare, Inc
- Family Medicine Physician
- Carrollton, GA
National Provider Identifier
1194977918
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- TMC CARROLLTON FAMILY HEALTHCARE, INC
- Doing business as
- Carrollton Family Healthcare
- Practice address
- 624 Dixie St
Carrollton, GA 30117-3817 - Phone
- (770) 832-9593
- Fax
- (770) 832-0440
- NPI assigned
- Oct 13, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Debbi Macaluso-Peare
- Title
- Chief Financial Officer
- Phone
- (770) 838-8554
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
624 Dixie St
Carrollton, GA 30117-3817
Mailing address
119 Ambulance Dr
Suite 202
Carrollton, GA 30117-3857
Phone (770) 838-8710
Other names 1
- Carrollton Family Healthcare
National Provider Directory
National Provider DirectoryLocations
624 Dixie St
Carrollton, GA 30117
Phone (404) 832-9593
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1223856000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1223856000000",
"number": "1194977918",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "119 AMBULANCE DR",
"address_2": "SUITE 202",
"city": "CARROLLTON",
"state": "GA",
"postal_code": "301173857",
"telephone_number": "770-838-8710"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "624 DIXIE ST",
"city": "CARROLLTON",
"state": "GA",
"postal_code": "301173817",
"telephone_number": "770-832-9593",
"fax_number": "770-832-0440"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TMC CARROLLTON FAMILY HEALTHCARE, INC",
"organizational_subpart": "NO",
"enumeration_date": "2008-10-13",
"last_updated": "2008-10-13",
"status": "A",
"authorized_official_last_name": "MACALUSO-PEARE",
"authorized_official_first_name": "DEBBI",
"authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
"authorized_official_telephone_number": "770-838-8554"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Carrollton Family Healthcare",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Oct 13, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.