NPIMap

Organization Active NPI

Complete Wellness Center

  • Family Medicine Physician
  • Rome, GA
National Provider Identifier
1376556779
Registry record updated Apr 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036109 Issued in GA
Legal business name
COMPLETE WELLNESS CENTER
Practice address
315 W 10TH St NE Ste 105
Rome, GA 30165-2638
Phone
(706) 291-1270
Fax
(706) 291-1276
NPI assigned
Aug 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2008

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

Authorized official

Name
Dr. Kevin Emory Brown, M.D.
Title
Owner
Phone
(706) 291-1270

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 036109 GA Primary

Addresses

Primary practice location

315 W 10TH St NE Ste 105
Rome, GA 30165-2638

Mailing address

315 W 10TH St NE Ste 105
Rome, GA 30165-2638
Phone (706) 291-1270

National Provider Directory

National Provider Directory

Locations

315 W 10th St NE
Ste 105
Rome, GA 30165
Phone (706) 291-1270

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1155600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208390400000",
    "number": "1376556779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 W 10TH ST NE STE 105",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301652638",
            "telephone_number": "706-291-1270",
            "fax_number": "706-291-1276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 W 10TH ST NE STE 105",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301652638",
            "telephone_number": "706-291-1270",
            "fax_number": "706-291-1276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPLETE WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-15",
        "last_updated": "2008-04-17",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "EMORY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "706-291-1270",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "036109",
            "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 Apr 17, 2008; 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.