Active NPI
Buford Family Practice and Urgent Care Center, P.C
- Primary Care Clinic/Center
- Buford, GA
National Provider Identifier
1386855740
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- License
- 057551
- Legal business name
- BUFORD FAMILY PRACTICE AND URGENT CARE CENTER, P.C
- Practice address
- 2805 Hamilton Mill Rd
Buford, GA 30519-4110 - Phone
- (678) 541-0588
- Fax
- (678) 541-0610
- NPI assigned
- May 25, 2007
- Last updated
- Jan 30, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Alexander Osowa, M.D
- Title
- Physician Owner
- Phone
- (678) 541-0588
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | 057551 | GA | Primary |
Addresses
Primary practice location
2805 Hamilton Mill Rd
Buford, GA 30519-4110
Mailing address
2805 Hamilton Mill Rd
Buford, GA 30519-4110
Phone (678) 541-0588
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
3331 Hamilton Mill Rd
Ste 1102
Buford, GA 30519
Phone (678) 541-0588
Practitioners & affiliated clinicians
Practitioners 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180051200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1548806400000",
"number": "1386855740",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2805 HAMILTON MILL RD",
"city": "BUFORD",
"state": "GA",
"postal_code": "305194110",
"telephone_number": "678-541-0588",
"fax_number": "678-541-0610"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2805 HAMILTON MILL RD",
"city": "BUFORD",
"state": "GA",
"postal_code": "305194110",
"telephone_number": "678-541-0588",
"fax_number": "678-541-0610"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BUFORD FAMILY PRACTICE AND URGENT CARE CENTER, P.C",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-25",
"last_updated": "2019-01-30",
"status": "A",
"authorized_official_last_name": "OSOWA",
"authorized_official_first_name": "ALEXANDER",
"authorized_official_title_or_position": "PHYSICIAN OWNER",
"authorized_official_telephone_number": "678-541-0588",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D"
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": "GA",
"license": "057551",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Buford, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2019; 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.