NPIMap

Organization Active NPI

Affinity Acquisitions Georgia LLC

Doing business as Affinity Palliative Care of GA

  • Hospice and Palliative Medicine (Family Medicine) Physician
  • Jasper, GA
National Provider Identifier
1285284893
Registry record updated Jan 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospice and Palliative Medicine (Family Medicine) PhysicianTaxonomy code 207QH0002X
Legal business name
AFFINITY ACQUISITIONS GEORGIA LLC
Doing business as
Affinity Palliative Care of GA
Practice address
12 Sammy McGhee Blvd Ste 202
Jasper, GA 30143-7712
Phone
(706) 403-4033
Fax
(800) 625-7404
NPI assigned
Sep 16, 2019
Last updated
Jan 10, 2020By the provider in NPPES
Organization subpart
Yes
Parent organization
AFFINITY ACQUISITIONS GEORGIA LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 10, 2020

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

Authorized official

Name
Thomas Sefcik
Title
Cfo
Phone
(205) 949-0400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hospice and Palliative Medicine (Family Medicine) Physician 207QH0002X Primary

Addresses

Primary practice location

12 Sammy McGhee Blvd Ste 202
Jasper, GA 30143-7712

Mailing address

135 Gemini Cir Ste 202
Birmingham, AL 35209-5842
Phone (205) 949-0400

Other names 1

  • Affinity Palliative Care of GA Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Affinity Acquisitions Georgia LLC4 organizations share this tax ID, including this one
Part of
Affinity Acquisitions Georgia LLC

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1568592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578614400000",
    "number": "1285284893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 GEMINI CIR STE 202",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352095842",
            "telephone_number": "205-949-0400",
            "fax_number": "205-949-0405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 SAMMY MCGHEE BLVD STE 202",
            "city": "JASPER",
            "state": "GA",
            "postal_code": "301437712",
            "telephone_number": "706-403-4033",
            "fax_number": "800-625-7404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AFFINITY ACQUISITIONS GEORGIA LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AFFINITY ACQUISITIONS GEORGIA LLC",
        "enumeration_date": "2019-09-16",
        "last_updated": "2020-01-10",
        "certification_date": "2020-01-10",
        "status": "A",
        "authorized_official_last_name": "SEFCIK",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "205-949-0400"
    },
    "taxonomies": [
        {
            "code": "207QH0002X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Hospice and Palliative Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Affinity Palliative Care of GA",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Affinity Palliative Care of GA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jasper, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 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.