Active NPI
TMC West Georgia Family Medicine Inc
- Family Medicine Physician
- Villa Rica, GA
National Provider Identifier
1447438676
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 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
National Provider Directory
National Provider DirectoryLocations
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
- TMC Immediate Care, Inc
- TMC Internal Medicine Associates Villa Rica
- TMC Internal Medicine of Villa Rica, Inc.
- TMC Tanner Gynecology Inc
- TMC West Georgia Behavioral Health Inc
- TMC-Behavioral Health of West Georgia
- TMC/Villa Rica Hospital, Inc
- TMC/Villa Rica Hospital, Inc
- TMG Northwest Georgia Oncology Center Inc
- Today Alone LLC
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.