Organization Active NPI

TMC Carrollton Family Healthcare, Inc

  • Family Medicine Physician
  • Carrollton, GA
National Provider Identifier
1194977918
Registry record updated Oct 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
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

Updated by the provider on Oct 13, 2008

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)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.