NPIMap

Organization Active NPI

Auburn Primary Care PC

  • Family Medicine Physician
  • Auburn, GA
National Provider Identifier
1205056587
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
044330 Issued in GA
Legal business name
AUBURN PRIMARY CARE PC
Practice address
12 7TH Street
Auburn, GA 30011
Phone
(770) 822-5555
Fax
(770) 822-6117
NPI assigned
Apr 27, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Richard Mark Schlossberg, M.D.NPI 1962497941
Title
Owner
Phone
(770) 822-5555

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 044330 GA Primary

Addresses

Primary practice location

12 7TH Street
Auburn, GA 30011

Mailing address

12 7TH Street
Auburn, GA 30011
Phone (770) 822-5555

National Provider Directory

National Provider Directory

Locations

12 7th St
Auburn, GA 30011
Phone (770) 822-5555

Practitioners & affiliated clinicians

Practitioners 1

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": "1177632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1205056587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 7TH STREET",
            "city": "AUBURN",
            "state": "GA",
            "postal_code": "30011",
            "telephone_number": "770-822-5555",
            "fax_number": "770-822-6117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 7TH STREET",
            "city": "AUBURN",
            "state": "GA",
            "postal_code": "30011",
            "telephone_number": "770-822-5555",
            "fax_number": "770-822-6117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUBURN PRIMARY CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SCHLOSSBERG",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "MARK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-822-5555",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "044330",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Auburn, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.