NPIMap

Organization Active NPI

Familylife Medical, LLC

  • Specialist
  • Blue Ridge, GA
National Provider Identifier
1437524337
Registry record updated Feb 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
FAMILYLIFE MEDICAL, LLC
Practice address
351 E Highland St
Suite C
Blue Ridge, GA 30513-4544
Phone
(706) 632-2707
Fax
(706) 632-2723
NPI assigned
Dec 3, 2015
Last updated
Feb 25, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2016

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

Authorized official

Name
Stacey Davis, DCNPI 1588793541
Title
Manager
Phone
(706) 632-2707

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X NU Primary

Addresses

Primary practice location

351 E Highland St
Suite C
Blue Ridge, GA 30513-4544

Mailing address

351 E Highland St
Suite C
Blue Ridge, GA 30513-4544
Phone (706) 632-2707

National Provider Directory

National Provider Directory

Locations

351 E Highland St
Ste C
Blue Ridge, GA 30513
Phone (706) 632-2707

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1449100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456358400000",
    "number": "1437524337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "351 E HIGHLAND ST",
            "address_2": "SUITE C",
            "city": "BLUE RIDGE",
            "state": "GA",
            "postal_code": "305134544",
            "telephone_number": "706-632-2707",
            "fax_number": "706-632-2723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "351 E HIGHLAND ST",
            "address_2": "SUITE C",
            "city": "BLUE RIDGE",
            "state": "GA",
            "postal_code": "305134544",
            "telephone_number": "706-632-2707",
            "fax_number": "706-632-2723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILYLIFE MEDICAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-03",
        "last_updated": "2016-02-25",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "STACEY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "706-632-2707",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Blue Ridge, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2016; 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.