Organization Active NPI

Apple Medical Center

  • Primary Care Clinic/Center
  • East Ellijay, GA
National Provider Identifier
1336127174
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
APPLE MEDICAL CENTER
Practice address
772 Maddox Dr
Suite 110
East Ellijay, GA 30540-8194
Phone
(706) 635-5177
Fax
(706) 635-5171
NPI assigned
Jan 3, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Edward B Schwartz, D.O.
Title
President
Phone
(706) 635-5177

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

772 Maddox Dr
Suite 110
East Ellijay, GA 30540-8194

Mailing address

PO Box 1115
Ellijay, GA 30540-0014
Phone (706) 635-5177

Other identifiers 1

IdentifierTypeStateIssuer
00918376DMedicaidGA

National Provider Directory

National Provider Directory

Locations

772 Maddox Dr
Ste 110
East Ellijay, GA 30540
Phone (706) 635-5177

NPI Registry JSON

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

{
    "created_epoch": "1136246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1336127174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1115",
            "city": "ELLIJAY",
            "state": "GA",
            "postal_code": "305400014",
            "telephone_number": "706-635-5177",
            "fax_number": "706-635-5171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "772 MADDOX DR",
            "address_2": "SUITE 110",
            "city": "EAST ELLIJAY",
            "state": "GA",
            "postal_code": "305408194",
            "telephone_number": "706-635-5177",
            "fax_number": "706-635-5171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "APPLE MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SCHWARTZ",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "706-635-5177",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00918376D",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in East Ellijay, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.