NPIMap

Organization Active NPI

Screven County Family Medicine

  • Family Medicine Physician
  • Sylvania, GA
National Provider Identifier
1407010689
Registry record updated Jul 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
058087 Issued in GA
Legal business name
SCREVEN COUNTY FAMILY MEDICINE
Practice address
215 Mims Road
Sylvania, GA 30467
Phone
(912) 564-9285
Fax
(912) 564-2174
NPI assigned
Jul 16, 2008
Last updated
Jul 16, 2008By the provider in NPPES
Organization subpart
Yes
Parent organization
SCREVEN COUNTY HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 16, 2008

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

Authorized official

Name
Christine Degnon McFarlin, MD
Title
Physician
Phone
(912) 564-9285

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 058087 GA Primary

Addresses

Primary practice location

215 Mims Road
Sylvania, GA 30467

Mailing address

PO Box 1938
Sylvania, GA 30467
Phone (912) 564-9285

National Provider Directory

National Provider Directory
Tax ID family
Screven Medical Associates2 organizations share this tax ID, including this one
Part of
Screven Medical Associates

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": "1216166400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216166400000",
    "number": "1407010689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1938",
            "city": "SYLVANIA",
            "state": "GA",
            "postal_code": "30467",
            "telephone_number": "912-564-9285",
            "fax_number": "912-564-2174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 MIMS ROAD",
            "city": "SYLVANIA",
            "state": "GA",
            "postal_code": "30467",
            "telephone_number": "912-564-9285",
            "fax_number": "912-564-2174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCREVEN COUNTY FAMILY MEDICINE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SCREVEN COUNTY HOSPITAL",
        "enumeration_date": "2008-07-16",
        "last_updated": "2008-07-16",
        "status": "A",
        "authorized_official_last_name": "MCFARLIN",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_middle_name": "DEGNON",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "912-564-9285",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "058087",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sylvania, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2008; 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.