NPIMap

Organization Active NPI

Free Clinic of Rome Georgia Inc

  • Family Medicine Physician
  • Rome, GA
National Provider Identifier
1346648250
Registry record updated Dec 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
FREE CLINIC OF ROME GEORGIA INC
Practice address
101-B John Maddox Drive
Rome, GA 30165-1419
Phone
(706) 234-1331
NPI assigned
Dec 9, 2014
Last updated
Dec 16, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2014

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

Authorized official

Name
Barbara Earle
Title
Exexctuive Director
Phone
(706) 234-1331

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

101-B John Maddox Drive
Rome, GA 30165-1419

Mailing address

101-B John Maddox Drive
Rome, GA 30165-1419
Phone (706) 234-1331

National Provider Directory

National Provider Directory

Locations

101 John Maddox Dr NW
Ste B
Rome, GA 30165
Phone (706) 234-1331

NPI Registry JSON

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

{
    "created_epoch": "1418083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418688000000",
    "number": "1346648250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101-B JOHN MADDOX DRIVE",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301651419",
            "telephone_number": "706-234-1331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101-B JOHN MADDOX DRIVE",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301651419",
            "telephone_number": "706-234-1331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREE CLINIC OF ROME GEORGIA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-09",
        "last_updated": "2014-12-16",
        "status": "A",
        "authorized_official_last_name": "EARLE",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_title_or_position": "EXEXCTUIVE DIRECTOR",
        "authorized_official_telephone_number": "706-234-1331"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rome, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2014; 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.