West Georgia Healthcare

Primary specialty

Adult Medicine PhysicianTaxonomy code 207QA0505X

Legal business name

WEST GEORGIA HEALTHCARE

Practice address

210 South St
Carrollton, GA 30117-3738

Phone

(770) 834-1898

Fax

(770) 834-4814

NPI assigned

Jan 3, 2019

Last updated

Jan 3, 2019By 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

Mr. Daniel Mielcarski, DC

Title

Owner

Phone

(678) 462-4402

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Lisa N Mielcarski, D.C

  • Chiropractor
  • Carrollton, GA
  • NPI 1992889497
  NPD

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

{
    "created_epoch": "1546473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1546473600000",
    "number": "1306319256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 SOUTH ST",
            "city": "CARROLLTON",
            "state": "GA",
            "postal_code": "301173738",
            "telephone_number": "770-834-1898",
            "fax_number": "770-834-4814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 SOUTH ST",
            "city": "CARROLLTON",
            "state": "GA",
            "postal_code": "301173738",
            "telephone_number": "770-834-1898",
            "fax_number": "770-834-4814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST GEORGIA HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-03",
        "last_updated": "2019-01-03",
        "status": "A",
        "authorized_official_last_name": "MIELCARSKI",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "678-462-4402",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Adult Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• West Georgia Center for Plastic Surgery, LLC (Plastic Surgery Center of West Georgia, LLC)
• West Georgia Derm Surgery Center
• West Georgia Endoscopy Center
• West Georgia Eye Care
• West Georgia Gastroenterology Associates,PC
• West Georgia Healthcare for Women, P.C.
• West Georgia Internal Medicine PC
• West Georgia Obstetrics & Gynecology P.C.
• West Georgia Pathology, LLC
• West Georgia Podiatry Assoc.

• Adult Medicine Physician in Carrollton, GA
• Providers in Carrollton, GA by specialty
• Adult Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.