Active NPI
Town Central Insurance
- Supports Brokerage Agency
- Cornelia, GA
National Provider Identifier
1396172334
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Supports Brokerage Agency
- License
- 2887248
- Legal business name
- TOWN CENTRAL INSURANCE
- Practice address
- 748 Stonecypher St
Cornelia, GA 30531-2456 - Phone
- (706) 778-6268
- NPI assigned
- Oct 6, 2013
- 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
- Phailoth Loonubon
- Title
- Principal Agent/ Owner
- Phone
- (706) 778-6268
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Supports Brokerage Agency | 251X00000X | 2887248 | GA | Primary |
Addresses
Primary practice location
748 Stonecypher St
Cornelia, GA 30531-2456
Mailing address
748 Stonecypher St
Cornelia, GA 30531-2456
Phone (706) 778-6268
National Provider Directory
National Provider Directory- Tax ID family
- Town Central Insurance
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Supports Brokerage Agency
- Cornelia, GA
- NPI 1447688262
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1381017600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1381017600000",
"number": "1396172334",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "748 STONECYPHER ST",
"city": "CORNELIA",
"state": "GA",
"postal_code": "305312456",
"telephone_number": "706-778-6268"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "748 STONECYPHER ST",
"city": "CORNELIA",
"state": "GA",
"postal_code": "305312456",
"telephone_number": "706-778-6268"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TOWN CENTRAL INSURANCE",
"organizational_subpart": "NO",
"enumeration_date": "2013-10-06",
"last_updated": "2013-10-06",
"status": "A",
"authorized_official_last_name": "LOONUBON",
"authorized_official_first_name": "PHAILOTH",
"authorized_official_title_or_position": "PRINCIPAL AGENT/ OWNER",
"authorized_official_telephone_number": "706-778-6268"
},
"taxonomies": [
{
"code": "251X00000X",
"taxonomy_group": "",
"desc": "Supports Brokerage",
"state": "GA",
"license": "2887248",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cornelia, GA
- T.M.D.H., Inc. (Arnold Drug Company)
- T.M.D.H., Inc. (Arnold Drug Company LTC)
- Thrive Health, LLC.
- Tims Pharmacy Inc (Tims Pharmacy)
- Tims Pharmacy Inc (Tim's Pharmacy LTC)
- Town Central Insurance
- Neonia Lynn Townley, FNP-BC
- United Psychology Center, LLC (Northeast Georgia Clinic)
- Wal-Mart Stores East LP (Walmart Pharmacy 10-1403)
- Wal-Mart Stores East, LP.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.