Clinica Familiar Y Prenatal

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

RN120872 Issued in GA

Legal business name

CLINICA FAMILIAR Y PRENATAL

Practice address

155 Medical Way Ste B
Riverdale, GA 30274-4940

Phone

(678) 755-5334

Fax

(404) 529-4430

NPI assigned

Oct 25, 2017

Organization subpart

No

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

Authorized official

Name

Bridgette Hannigan, RCS

Title

Administrator

Phone

(678) 755-5334

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

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

• Yarislenia Gonzalez Gomez

  • Family Nurse Practitioner
  • Houston, TX
  • NPI 1346894177
  NPD (past)

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

{
    "created_epoch": "1508889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1508889600000",
    "number": "1336651702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 MEDICAL WAY STE B",
            "city": "RIVERDALE",
            "state": "GA",
            "postal_code": "302744940",
            "telephone_number": "678-755-5334",
            "fax_number": "404-529-4430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 MEDICAL WAY STE B",
            "city": "RIVERDALE",
            "state": "GA",
            "postal_code": "302744940",
            "telephone_number": "678-755-5334",
            "fax_number": "404-529-4430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINICA FAMILIAR Y PRENATAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-25",
        "last_updated": "2017-10-25",
        "status": "A",
        "authorized_official_last_name": "HANNIGAN",
        "authorized_official_first_name": "BRIDGETTE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "678-755-5334",
        "authorized_official_credential": "RCS"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "RN120872",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Clayton County Dialysis, LLC
• Clayton Medical Supply Inc
• Clayton Mhddad
• Clayton Mhddad
• Kathryn Rose Clayton, MD
• Clinica Medica Dr Rene Delgado, Inc
• Clinica Medica Familiar, LLP
• Clinica Union, Inc
• Chyna Simone Cloud
• Jamyiah Laquan Coachman, CNM,WHNP-BC

• Family Medicine Physician in Riverdale, GA
• Providers in Riverdale, 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 Oct 25, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.