Family Medicine Professionals Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

042629 Issued in GA

Legal business name

FAMILY MEDICINE PROFESSIONALS INC

Practice address

3215 Shrine Rd
Suite 1a
Brunswick, GA 31520-4387

Phone

(912) 264-1278

Fax

(912) 264-1044

NPI assigned

Feb 17, 2015

Last updated

Feb 17, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Doreen Darlyn Kinney, MD

Title

President

Phone

(912) 264-1278

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1424131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424131200000",
    "number": "1295126977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3215 SHRINE RD",
            "address_2": "SUITE 1A",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315204387",
            "telephone_number": "912-264-1278",
            "fax_number": "912-264-1044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3215 SHRINE RD",
            "address_2": "SUITE 1A",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315204387",
            "telephone_number": "912-264-1278",
            "fax_number": "912-264-1044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY MEDICINE PROFESSIONALS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-17",
        "last_updated": "2015-02-17",
        "status": "A",
        "authorized_official_last_name": "KINNEY",
        "authorized_official_first_name": "DOREEN",
        "authorized_official_middle_name": "DARLYN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "912-264-1278",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "042629",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "080135122",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00795792A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Rick Farley
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• Muhammad Farooq, MD

• Family Medicine Physician in Brunswick, GA
• Providers in Brunswick, 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 Feb 17, 2015; 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.