Organization Active NPI

TMC West Georgia Family Medicine Inc

  • Family Medicine Physician
  • Villa Rica, GA
National Provider Identifier
1447438676
Registry record updated Jun 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
TMC WEST GEORGIA FAMILY MEDICINE INC
Practice address
705 Dallas Hwy
Suite 101
Villa Rica, GA 30180-1247
Phone
(770) 459-4411
Fax
(770) 459-2424
NPI assigned
Feb 11, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2010

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

Authorized official

Name
Dale Dreiling, M.D.
Title
Senior VP
Phone
(770) 838-8038

Specialties & licenses 1

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

Addresses

Primary practice location

705 Dallas Hwy
Suite 101
Villa Rica, GA 30180-1247

Mailing address

705 Dallas Hwy
Suite 101
Villa Rica, GA 30180-1247
Phone (770) 459-4411

Other names 1

  • West Georgia Family Medicine Doing business as

National Provider Directory

National Provider Directory

Locations

2305 Sweetwater Church Rd
Douglasville, GA 30134
Phone (678) 715-8891

NPI Registry JSON

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

{
    "created_epoch": "1202688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277856000000",
    "number": "1447438676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "705 DALLAS HWY",
            "address_2": "SUITE 101",
            "city": "VILLA RICA",
            "state": "GA",
            "postal_code": "301801247",
            "telephone_number": "770-459-4411",
            "fax_number": "770-459-2424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 DALLAS HWY",
            "address_2": "SUITE 101",
            "city": "VILLA RICA",
            "state": "GA",
            "postal_code": "301801247",
            "telephone_number": "770-459-4411",
            "fax_number": "770-459-2424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TMC WEST GEORGIA FAMILY MEDICINE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-11",
        "last_updated": "2010-06-30",
        "status": "A",
        "authorized_official_last_name": "DREILING",
        "authorized_official_first_name": "DALE",
        "authorized_official_title_or_position": "SENIOR VP",
        "authorized_official_telephone_number": "770-838-8038",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "West Georgia Family Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Villa Rica, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 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.