New Horizons Family Clinic

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

060225 Issued in GA

Legal business name

NEW HORIZONS FAMILY CLINIC

Doing business as

Medical Clinic

Practice address

667 Heritage Post LN
Grayson, GA 30017-1661

Phone

(770) 962-0041

Fax

(770) 962-0041

NPI assigned

May 27, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Jean P. Nazaire, M.D

Title

M.D

Phone

(770) 962-0041

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Medical Clinic Doing business as

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

{
    "created_epoch": "1274918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274918400000",
    "number": "1427377597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "667 HERITAGE POST LN",
            "address_2": "PO BOX 794",
            "city": "GRAYSON",
            "state": "GA",
            "postal_code": "300171661",
            "telephone_number": "770-962-0041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "667 HERITAGE POST LN",
            "city": "GRAYSON",
            "state": "GA",
            "postal_code": "300171661",
            "telephone_number": "770-962-0041",
            "fax_number": "770-962-0041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW HORIZONS FAMILY CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-27",
        "last_updated": "2010-05-27",
        "status": "A",
        "authorized_official_last_name": "NAZAIRE",
        "authorized_official_first_name": "JEAN",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "M.D",
        "authorized_official_telephone_number": "770-962-0041",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "GA",
            "license": "060225",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2047101",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medical Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kayla Murray, BCBA
• Sakila Israt Nasrin
• Uzoma Ndukwe, D.O.
• Alisa M Nelson-Wade
• Nerak Healthcare Partners LLC
• Ngozi Doreen Nwaise
• Onekap Healthcare Solutions, LLC
• Giao Ong
• Optimum Health of L'Ville-Grayson
• Optimum Health Rehab of Lville-Grayson LLC

• Clinic/Center in Grayson, GA
• Providers in Grayson, GA by specialty
• Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2010; 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.