Weatherstone Medical Care LLC.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

053936 Issued in GA

Legal business name

WEATHERSTONE MEDICAL CARE LLC.

Practice address

3203 S Cherokee LN
Suite 220
Woodstock, GA 30188-4461

Phone

(770) 675-6025

Fax

(770) 675-7814

NPI assigned

Oct 22, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Magdy W Rezk, M.DNPI 1053318808

Title

Owner/ Physician

Phone

(770) 675-6025

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Practitioners 3

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

• Magdy W Rezk, M.D.

  • Family Medicine Physician
  • Woodstock, GA
  • NPI 1053318808
  Medicare reassignment Authorized official
• Srividya Koduru

  • Family Medicine Physician
  • Johns Creek, GA
  • NPI 1073804969
  Medicare reassignment NPD
• Ravindranath Nallamothu, MD

  • Internal Medicine Physician
  • Cartersville, GA
  • NPI 1679724033
  Medicare reassignment NPD

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

{
    "created_epoch": "1350864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350864000000",
    "number": "1386997765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3203 S CHEROKEE LN",
            "address_2": "SUITE 220",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301884461",
            "telephone_number": "770-675-6025",
            "fax_number": "770-675-7814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3203 S CHEROKEE LN",
            "address_2": "SUITE 220",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301884461",
            "telephone_number": "770-675-6025",
            "fax_number": "770-675-7814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEATHERSTONE MEDICAL CARE LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-22",
        "last_updated": "2012-10-22",
        "status": "A",
        "authorized_official_last_name": "REZK",
        "authorized_official_first_name": "MAGDY",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER/ PHYSICIAN",
        "authorized_official_telephone_number": "770-675-6025",
        "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": "053936",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "186997325C",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Harry Daniel Watkins Jr., M.D.
• Gwyn Morgan Watson
• Katie Jeanes Watson
• Jason Edward Watts, PMHNP
• Jill Levey Waxman, PHD
• Ashley Wedgworth, D.C.
• Michele Cloy Weeks, PT
• Samuel Wehby Jr., PT
• Steven A Weiskopf, D.P.M.
• Jessica A Welker, PHARM.D.

• Family Medicine Physician in Woodstock, GA
• Providers in Woodstock, 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 Oct 22, 2012; 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.

Verify at the official NPI Registry.