Redmond Physician Practice Company

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

REDMOND PHYSICIAN PRACTICE COMPANY

Doing business as

Redmond Family Care Center Trion in Shannon

Practice address

5865 New Calhoun Highway, N.E.
Shannon, GA 30172

Phone

(706) 236-1919

Fax

(706) 236-1919

NPI assigned

Oct 20, 2005

Last updated

Dec 10, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Chuck Locke

Title

Director

Phone

(615) 373-7604

Specialties & licenses 1

Addresses

Other names 1

• Redmond Family Care Center Trion in Shannon Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Cynthia R Shumpert, MD

  • Family Medicine Physician
  • Rome, GA
  • NPI 1558348300
  NPD (past)
• Paul Keith Shumpert, MD

  • Emergency Medicine Physician
  • Rome, GA
  • NPI 1033154000
  NPD (past)

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

{
    "created_epoch": "1129766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197244800000",
    "number": "1356330583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5865 NEW CALHOUN HIGHWAY, N.E.",
            "city": "SHANNON",
            "state": "GA",
            "postal_code": "30172",
            "telephone_number": "706-236-1919",
            "fax_number": "706-236-1919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5865 NEW CALHOUN HIGHWAY, N.E.",
            "city": "SHANNON",
            "state": "GA",
            "postal_code": "30172",
            "telephone_number": "706-236-1919",
            "fax_number": "706-236-1919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REDMOND PHYSICIAN PRACTICE COMPANY",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-20",
        "last_updated": "2007-12-10",
        "status": "A",
        "authorized_official_last_name": "LOCKE",
        "authorized_official_first_name": "CHUCK",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "615-373-7604",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Redmond Family Care Center Trion in Shannon",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• McGowan Jones Pharmacy Inc

• Family Medicine Physician in Shannon, GA
• Providers in Shannon, 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 Dec 10, 2007; 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.