North Fulton Primary Care-Willeo Road, LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

NORTH FULTON PRIMARY CARE-WILLEO ROAD, LLC

Practice address

9420 Willeo Rd
Suite 206
Roswell, GA 30075-6772

Phone

(470) 235-4859

Fax

(470) 235-4860

NPI assigned

Nov 10, 2014

Last updated

Jun 16, 2016By 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. Wesley O. James

Title

Regional Cfo, Tenet

Phone

(404) 265-5009

Specialties & licenses 1

Addresses

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.

• Terra McDonald Bowers, P.A.

  • Family Medicine Physician
  • Roswell, GA
  • NPI 1043248750
  NPD (past)

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

{
    "created_epoch": "1415577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466035200000",
    "number": "1316343999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 743119",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303743119",
            "telephone_number": "470-235-4859",
            "fax_number": "470-235-4860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9420 WILLEO RD",
            "address_2": "SUITE 206",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300756772",
            "telephone_number": "470-235-4859",
            "fax_number": "470-235-4860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH FULTON PRIMARY CARE-WILLEO ROAD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-10",
        "last_updated": "2016-06-16",
        "status": "A",
        "authorized_official_last_name": "JAMES",
        "authorized_official_first_name": "WESLEY",
        "authorized_official_middle_name": "O.",
        "authorized_official_title_or_position": "REGIONAL CFO, TENET",
        "authorized_official_telephone_number": "404-265-5009",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• North Fulton Imaging Partners, LP (Roswell Imaging Center)
• North Fulton Internal Medicine Group
• North Fulton Opical Inc.
• North Fulton Pediatrics
• North Fulton Podiatry
• North Fulton Psychiatric Care PC
• North Fulton Pulmonary Specialists, LLC
• North Fulton Regional
• North Fulton Regional Medical Center Pro Fee Billing, LLC
• North Fulton Rheumatology

• Family Medicine Physician in Roswell, GA
• Providers in Roswell, 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 Jun 16, 2016; 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.