Home Physician Care of Northwest Georgia, LLC

Primary specialty

Adult Health Clinical Nurse SpecialistTaxonomy code 364SA2200X

Legal business name

HOME PHYSICIAN CARE OF NORTHWEST GEORGIA, LLC

Practice address

1825 McEntire Cir
Chatsworth, GA 30705-5945

Phone

(678) 986-6144

NPI assigned

Jul 7, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Tommy Dalton Bledsoe Jr., MD

Title

Medical Director

Phone

(678) 986-6144

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1404691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404691200000",
    "number": "1235545617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1825 MCENTIRE CIR",
            "city": "CHATSWORTH",
            "state": "GA",
            "postal_code": "307055945",
            "telephone_number": "678-986-6144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1825 MCENTIRE CIR",
            "city": "CHATSWORTH",
            "state": "GA",
            "postal_code": "307055945",
            "telephone_number": "678-986-6144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOME PHYSICIAN CARE OF NORTHWEST GEORGIA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-07",
        "last_updated": "2014-07-07",
        "status": "A",
        "authorized_official_last_name": "BLEDSOE",
        "authorized_official_first_name": "TOMMY",
        "authorized_official_middle_name": "DALTON",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "678-986-6144",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "364SA2200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Clinical Nurse Specialist, Adult Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Highland Rivers Community Service Board
• Angeline Michelle Hill, CCC-SLP
• Hma Health Systems
• Noelle Holland, MS, OTR/L
• Henry Clay Holton Jr., DPT, PT
• Joanne Elizabeth Hooks, APRN-BC
• Tracy Hooper, FNP
• Kayley Faye Howard, RBT
• Immanuel Women's Center, L.L.C
• Independent Physical Therapy of Ga LLC

• Adult Health Clinical Nurse Specialist in Chatsworth, GA
• Providers in Chatsworth, GA by specialty
• Adult Health Clinical Nurse Specialist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 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.