Organization Active NPI

Town Central Insurance

  • Supports Brokerage Agency
  • Cornelia, GA
National Provider Identifier
1396172334
Registry record updated Oct 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Supports Brokerage AgencyTaxonomy code 251X00000X
License
2887248 Issued in GA
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

Updated by the provider on Oct 6, 2013

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)CodeLicenseStatePrimary
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 Insurance2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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

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.

Verify at the official NPI Registry.