Organization Active NPI

Family Medical Center Urgent Care

  • Family Medicine Physician
  • Decatur, GA
National Provider Identifier
1235470451
Registry record updated Mar 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
031510 Issued in GA
Legal business name
FAMILY MEDICAL CENTER URGENT CARE
Practice address
2855 Candler Rd
Suite 4
Decatur, GA 30034
Phone
(404) 458-4842
NPI assigned
Mar 13, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2014

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

Authorized official

Name
Gil Varon
Title
Manager
Phone
(404) 458-4842

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 031510 GA Primary

Addresses

Primary practice location

2855 Candler Rd
Suite 4
Decatur, GA 30034

Mailing address

2855 Candler Rd
Suite 4
Decatur, GA 30034-1415
Phone (404) 458-4842

National Provider Directory

National Provider Directory

Locations

2855 Candler Rd
Ste 4
Decatur, GA 30034
Phone (404) 458-4842

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1363132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1393804800000",
    "number": "1235470451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2855 CANDLER RD",
            "address_2": "SUITE 4",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300341415",
            "telephone_number": "404-458-4842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2855 CANDLER RD",
            "address_2": "SUITE 4",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "30034",
            "telephone_number": "404-458-4842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY MEDICAL CENTER URGENT CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-13",
        "last_updated": "2014-03-03",
        "status": "A",
        "authorized_official_last_name": "VARON",
        "authorized_official_first_name": "GIL",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "404-458-4842"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "031510",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2014; 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.