Newnan Plaza LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

NEWNAN PLAZA LLC

Doing business as

NEWNAN PLAZA PHARMACY

Practice address

775 Poplar Rd
Suite 100
Newnan, GA 30265

Phone

(770) 683-3784

Fax

(770) 683-4101

NPI assigned

Mar 5, 2015

Organization subpart

No

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

Authorized official

Name

Nilabahen R Patel

Title

Owner

Phone

(678) 933-8965

Specialties & licenses 1

Addresses

Other names 2

• NEWNAN PLAZA PHARMACY Doing business as
• Shreeji 19 LLC Former legal business name

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Practitioners 1

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

• Roy Charles Brownlow, MD

  • Interventional Pain Medicine Physician
  • San Diego, CA
  • NPI 1205949914
  NPD (past)

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

{
    "created_epoch": "1425513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707350400000",
    "number": "1346633963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7780 WENTWORTH DR",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "30097",
            "telephone_number": "678-933-8965",
            "fax_number": "770-683-4101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "775 POPLAR RD",
            "address_2": "SUITE 100",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "30265",
            "telephone_number": "770-683-3784",
            "fax_number": "770-683-4101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEWNAN PLAZA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-05",
        "last_updated": "2024-02-08",
        "certification_date": "2024-02-06",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "NILABAHEN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "678-933-8965"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NEWNAN PLAZA PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Shreeji 19 LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Newnan Neurology PC
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• Newnan Rehab Solutions LLC
• Newnan Senior Living, LLC
• Newnan Smile Center

• Community/Retail Pharmacy in Newnan, GA
• Providers in Newnan, GA by specialty
• Community/Retail Pharmacy in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2024; 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.