Papp Clinic

Organization Active NPI Internal Medicine Physician · Newnan, GA

NPI 1336123736 · NPPES record last updated Mar 13, 2008

Key facts

NPI
1336123736
Entity type
Organization (NPI type 2)
Primary specialty
Internal Medicine Physician 207R00000X
Legal business name
PAPP CLINIC
Practice address
15 Cavender St
Newnan, GA 30263
Phone
(770) 253-6616
Fax
(770) 254-6070
NPI assigned
Nov 30, 2005
Organization subpart
No

Authorized official

Name
Carol E. Alexander, CEO
Title
Chief Executive Officer
Phone
(770) 263-6616

Practitioners 40

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

View all 40

National Provider Directory

Locations

62 Hospital Rd
Newnan, GA 30263
Phone (770) 254-3331

2959 Highway 154
Unit A
Newnan, GA 30265
Phone (770) 502-2000

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician
Group: 193200000X MULTI-SPECIALTY GROUP
207Q00000X
Internal Medicine Physician
Group: 193200000X MULTI-SPECIALTY GROUP
207R00000X Yes
Obstetrics & Gynecology Physician
Group: 193200000X MULTI-SPECIALTY GROUP
207V00000X
Ophthalmology Physician
Group: 193200000X MULTI-SPECIALTY GROUP
207W00000X
Otolaryngology Physician
Group: 193200000X MULTI-SPECIALTY GROUP
207Y00000X
Pediatrics Physician
Group: 193200000X MULTI-SPECIALTY GROUP
208000000X
Surgery Physician
Group: 193200000X MULTI-SPECIALTY GROUP
208600000X
Urology Physician
Group: 193200000X MULTI-SPECIALTY GROUP
208800000X
Clinical Medical Laboratory 291U00000X 038-005 GA

Addresses

Primary practice location

15 Cavender St
Newnan, GA 30263

Mailing address

15 Cavender St
Newnan, GA 30263
Phone (770) 253-6616

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Mar 13, 2008.

{
    "created_epoch": "1133308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205366400000",
    "number": "1336123736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 CAVENDER ST",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "30263",
            "telephone_number": "770-253-6616",
            "fax_number": "770-254-6070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 CAVENDER ST",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "30263",
            "telephone_number": "770-253-6616",
            "fax_number": "770-254-6070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAPP CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-30",
        "last_updated": "2008-03-13",
        "status": "A",
        "authorized_official_last_name": "ALEXANDER",
        "authorized_official_first_name": "CAROL",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "770-263-6616",
        "authorized_official_credential": "CEO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Otolaryngology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "GA",
            "license": "038-005",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newnan, GA

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Sources for this page

Verify at the official NPI Registry.