Prince Avenue Primary Care, L.L.C.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

015584 Issued in GA

Legal business name

PRINCE AVENUE PRIMARY CARE, L.L.C.

Practice address

892 Prince Ave
Athens, GA 30606-2724

Phone

(706) 227-2027

Fax

(706) 227-2433

NPI assigned

Jul 7, 2006

Organization subpart

No

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

Authorized official

Name

Timothy B Gibson, M.D.

Title

Ceo

Phone

(706) 227-2027

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Megan Diane Barron

  • Family Nurse Practitioner
  • Athens, GA
  • NPI 1417751868
  NPD

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1261958400000",
    "number": "1386676211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "892 PRINCE AVE",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306062724",
            "telephone_number": "706-227-2027",
            "fax_number": "706-227-2433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "892 PRINCE AVE",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306062724",
            "telephone_number": "706-227-2027",
            "fax_number": "706-227-2433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRINCE AVENUE PRIMARY CARE, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-07",
        "last_updated": "2009-12-28",
        "status": "A",
        "authorized_official_last_name": "GIBSON",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "706-227-2027",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "015584",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melanie Mobley Price, PT
• Robert Price III, M.D.
• Neal A Priest, MD
• Primedoc of Athens Inc
• Primedoc of Athens Inc
• Janet Smith Prior, LPN
• Kim Pritchett
• Samantha Lee Ann Privett, AGACNP
• Alexandra Gale Probst
• Professional Dental Alliance of Athens, LLC

• All providers in Athens, GA
• Family Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2009; 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.