Active NPI
Milledgeville Family Practice Center P.C.
- Family Medicine Physician
- Milledgeville, GA
National Provider Identifier
1215111992
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 18004
- Legal business name
- MILLEDGEVILLE FAMILY PRACTICE CENTER P.C.
- Practice address
- 540 W Thomas St Ste B
Milledgeville, GA 31061-2745 - Phone
- (478) 453-9435
- Fax
- (478) 453-9436
- NPI assigned
- Dec 18, 2007
- Organization subpart
- Yes
- Parent organization
- MILLEDGEVILLE FAMILY PRACTICE CENTER P.C.
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Charles I Caulton, M.D.
- Title
- Doctor
- Phone
- (478) 453-9435
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 18004 | GA | Primary |
| Obstetrics Physician | 207VX0000X | 18004 | GA |
Addresses
Primary practice location
540 W Thomas St Ste B
Milledgeville, GA 31061-2745
Mailing address
540 W Thomas St Ste B
Milledgeville, GA 31061-2745
Phone (478) 453-9435
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00201517A | Medicaid | GA |
National Provider Directory
National Provider Directory- Part of
- Milledgeville Familly Practice Center PC
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1197936000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1197936000000",
"number": "1215111992",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "540 W THOMAS ST STE B",
"city": "MILLEDGEVILLE",
"state": "GA",
"postal_code": "310612745",
"telephone_number": "478-453-9435",
"fax_number": "478-453-9436"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "540 W THOMAS ST STE B",
"city": "MILLEDGEVILLE",
"state": "GA",
"postal_code": "310612745",
"telephone_number": "478-453-9435",
"fax_number": "478-453-9436"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MILLEDGEVILLE FAMILY PRACTICE CENTER P.C.",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "MILLEDGEVILLE FAMILY PRACTICE CENTER P.C.",
"enumeration_date": "2007-12-18",
"last_updated": "2007-12-18",
"status": "A",
"authorized_official_last_name": "CAULTON",
"authorized_official_first_name": "CHARLES",
"authorized_official_middle_name": "I",
"authorized_official_title_or_position": "DOCTOR",
"authorized_official_telephone_number": "478-453-9435",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "GA",
"license": "18004",
"primary": true
},
{
"code": "207VX0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology, Obstetrics",
"state": "GA",
"license": "18004",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00201517A",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Milledgeville, GA
- Middle Georgia Ear Nose & Throat Surgery Center, P.C.
- Middle Georgia Nutrition Consulting, LLC
- Milledgeville Bone & Joint Specialist Inc
- Milledgeville Dental Imaging, LLC
- Milledgeville Familly Practice Center P.C.
- Milledgeville Medical Center Pharmacy Inc (Medical Center Pharmacy)
- Milledgeville OBGYN Associates, P.C.
- Milledgeville Orthotics Inc (no)
- Milledgeville Pediatrics PC
- Lauren S Mills, FNP-C
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.