Governors Famiily Medical Group, LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

GOVERNORS FAMIILY MEDICAL GROUP, LLC

Practice address

4900 Ivey Rd NW
Suite 1826
Acworth, GA 30101-4001

Phone

(770) 975-9077

Fax

(770) 790-4964

NPI assigned

May 6, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Heath Trowell, M.D.

Title

Owner

Phone

(770) 975-9077

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1241568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257292800000",
    "number": "1265666176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4900 IVEY RD NW",
            "address_2": "SUITE 1826",
            "city": "ACWORTH",
            "state": "GA",
            "postal_code": "301014001",
            "telephone_number": "770-975-9077",
            "fax_number": "770-790-4964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4900 IVEY RD NW",
            "address_2": "SUITE 1826",
            "city": "ACWORTH",
            "state": "GA",
            "postal_code": "301014001",
            "telephone_number": "770-975-9077",
            "fax_number": "770-790-4964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOVERNORS FAMIILY MEDICAL GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-06",
        "last_updated": "2009-11-04",
        "status": "A",
        "authorized_official_last_name": "TROWELL",
        "authorized_official_first_name": "HEATH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-975-9077",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Noelia Maria Gonzalez Ferran, DC
• Cayla Lexi Gonzalez
• Paula N Goode, RN
• Justin Taylor Gorrell, D.P.T
• Kerry Gourdain
• Kelneiricka Graves
• November F Graves, MT ES
• Anthony M Greco, MD
• Quan Green
• Lindsey Banks Gridine, OT

• Family Medicine Physician in Acworth, GA
• Providers in Acworth, GA by specialty
• Family Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2009; 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.