NPIMap

Organization Active NPI

Family Medical Therapies PLLC

  • Family Medicine Physician
  • Fort Oglethorpe, GA
National Provider Identifier
1225585037
Registry record updated Feb 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
70270 Issued in GA
Legal business name
FAMILY MEDICAL THERAPIES PLLC
Practice address
88 Stuart Rd Ste 88
Ft Oglethorpe, GA 30742-4047
Phone
(423) 521-5404
Fax
(423) 910-0379
NPI assigned
Sep 9, 2016
Last updated
Feb 9, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2020

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

Authorized official

Name
Paul Miranda, MDNPI 1285659144
Title
Owner
Phone
(423) 243-8196

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 Physician 207Q00000X 70270 GA Primary

Addresses

Primary practice location

88 Stuart Rd Ste 88
Ft Oglethorpe, GA 30742-4047

Mailing address

6 Rock Crest Dr
Signal Mountain, TN 37377-2302
Phone (423) 521-5404

National Provider Directory

National Provider Directory

Locations

88 Stuart Rd
Ste 88
Ft Oglethorpe, GA 30742
Phone (423) 521-5404

3309 Cummings Hwy
Ste 110
Chattanooga, TN 37419
Phone (423) 290-7237

Practitioners & affiliated clinicians

Practitioners 7

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": "1473379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581206400000",
    "number": "1225585037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 ROCK CREST DR",
            "city": "SIGNAL MOUNTAIN",
            "state": "TN",
            "postal_code": "373772302",
            "telephone_number": "423-521-5404",
            "fax_number": "706-406-2922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "88 STUART RD STE 88",
            "city": "FT OGLETHORPE",
            "state": "GA",
            "postal_code": "307424047",
            "telephone_number": "423-521-5404",
            "fax_number": "423-910-0379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY MEDICAL THERAPIES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-09",
        "last_updated": "2020-02-09",
        "certification_date": "2020-02-09",
        "status": "A",
        "authorized_official_last_name": "MIRANDA",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "423-243-8196",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "70270",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Oglethorpe, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 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.