Active NPI
Murray Internal Medicine, PC
- Internal Medicine Physician
- Chatsworth, GA
National Provider Identifier
1295992022
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 035479
- Legal business name
- MURRAY INTERNAL MEDICINE, PC
- Practice address
- 106 Hospital Dr
Chatsworth, GA 30705-2070 - Phone
- (706) 695-1488
- Fax
- (706) 422-9586
- NPI assigned
- May 20, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Mandy Lynn Fontaine
- Title
- Office Manager
- Phone
- (706) 695-1488
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 035479 | GA | Primary |
Addresses
Primary practice location
106 Hospital Dr
Chatsworth, GA 30705-2070
Mailing address
106 Hospital Dr
Chatsworth, GA 30705-2070
Phone (706) 695-1488
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00543837C | Medicaid | GA |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Nurse Practitioner
- Chatsworth, GA
- NPI 1912903642
-
- Surgery Physician
- Ringgold, GA
- NPI 1376537001
-
- Surgery Physician
- Calhoun, GA
- NPI 1346506359
-
- Surgery Physician
- Calhoun, GA
- NPI 1144753344
-
- Surgery Physician
- Chatsworth, GA
- NPI 1881671998
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1211241600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1211241600000",
"number": "1295992022",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "106 HOSPITAL DR",
"city": "CHATSWORTH",
"state": "GA",
"postal_code": "307052070",
"telephone_number": "706-695-1488",
"fax_number": "706-422-9586"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "106 HOSPITAL DR",
"city": "CHATSWORTH",
"state": "GA",
"postal_code": "307052070",
"telephone_number": "706-695-1488",
"fax_number": "706-422-9586"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MURRAY INTERNAL MEDICINE, PC",
"organizational_subpart": "NO",
"enumeration_date": "2008-05-20",
"last_updated": "2008-05-20",
"status": "A",
"authorized_official_last_name": "FONTAINE",
"authorized_official_first_name": "MANDY",
"authorized_official_middle_name": "LYNN",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "706-695-1488",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "GA",
"license": "035479",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00543837C",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Chatsworth, GA
- Murray County Board of Health (Murray County Health Department)
- Murray County Developmental Center, Inc.
- Murray County Memorial Hospital Authority (Murray Medical Center)
- Murray County Memorial Hospital Authority
- Murray Emergency Physicians, LLC
- Murray Medical Center, Inc.
- Murray Medical Center, Inc.
- Murray Woods of Journey LLC
- Craig Andrew Murray, M.D.
- Taylor Murray, DO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.