NPIMap

Organization Active NPI

Complete Healthcare of Buford

  • General Practice Physician
  • Buford, GA
National Provider Identifier
1255609830
Registry record updated Oct 22, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
28809 Issued in GA
Legal business name
COMPLETE HEALTHCARE OF BUFORD
Practice address
3280 Hamilton Mill Rd
Suite 304
Buford, GA 30519-7221
Phone
(678) 546-8044
Fax
(678) 546-8047
NPI assigned
Dec 9, 2011
Last updated
Oct 22, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2012

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

Authorized official

Name
Dr. Adam VirgilioNPI 1053411587
Title
Owner
Phone
(678) 546-8044

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 28809 GA Primary

Addresses

Primary practice location

3280 Hamilton Mill Rd
Suite 304
Buford, GA 30519-7221

Mailing address

3280 Hamilton Mill Rd
Suite 304
Buford, GA 30519-7221
Phone (678) 546-8044

Other identifiers 1

IdentifierTypeStateIssuer
6706740001OtherGAMEDICARE PTAN

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1323388800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350864000000",
    "number": "1255609830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3280 HAMILTON MILL RD",
            "address_2": "SUITE 304",
            "city": "BUFORD",
            "state": "GA",
            "postal_code": "305197221",
            "telephone_number": "678-546-8044",
            "fax_number": "678-546-8047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3280 HAMILTON MILL RD",
            "address_2": "SUITE 304",
            "city": "BUFORD",
            "state": "GA",
            "postal_code": "305197221",
            "telephone_number": "678-546-8044",
            "fax_number": "678-546-8047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPLETE HEALTHCARE OF BUFORD",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-09",
        "last_updated": "2012-10-22",
        "status": "A",
        "authorized_official_last_name": "VIRGILIO",
        "authorized_official_first_name": "ADAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "678-546-8044",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "GA",
            "license": "28809",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "6706740001",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Buford, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2012; 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.