NPIMap

Organization Active NPI

Complete Care of Georgia, P.C.

  • Family Medicine Physician
  • Decatur, GA
National Provider Identifier
1306040225
Registry record updated Jul 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
042997 Issued in GA
Legal business name
COMPLETE CARE OF GEORGIA, P.C.
Practice address
5040 Snapfinger Woods Dr
Suite 201
Decatur, GA 30035-4020
Phone
(770) 808-8500
NPI assigned
Jun 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2011

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

Authorized official

Name
Dr. Crystal Barnwell, M.D.NPI 1992877468
Title
Physician
Phone
(770) 808-8500

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
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 042997 GA Primary

Addresses

Primary practice location

5040 Snapfinger Woods Dr
Suite 201
Decatur, GA 30035-4020

Mailing address

PO Box 3760
Decatur, GA 30031-3760
Phone (770) 808-8500

Other identifiers 1

IdentifierTypeStateIssuer
00834061BMedicaidGA

Other names 1

  • Healing Innovations, P.C. Doing business as

National Provider Directory

National Provider Directory

Locations

5040 Snapfinger Woods Dr
Ste 201
Decatur, GA 30035
Phone (419) 824-5203

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1181692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1311724800000",
    "number": "1306040225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3760",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300313760",
            "telephone_number": "770-808-8500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5040 SNAPFINGER WOODS DR",
            "address_2": "SUITE 201",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300354020",
            "telephone_number": "770-808-8500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPLETE CARE OF GEORGIA, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-13",
        "last_updated": "2011-07-27",
        "status": "A",
        "authorized_official_last_name": "BARNWELL",
        "authorized_official_first_name": "CRYSTAL",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "770-808-8500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "042997",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00834061B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Healing Innovations, P.C.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Decatur, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2011; 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.