Compassionate Care Clinic, Inc.

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

COMPASSIONATE CARE CLINIC, INC.

Practice address

102 Airport Rd NE
Milledgeville, GA 31061-9313

Phone

(478) 453-0077

Fax

(478) 453-0790

NPI assigned

Apr 15, 2008

Organization subpart

No

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

Authorized official

Name

J. Moore

Title

Ceo

Phone

(478) 453-0077

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Stephanie McNabb Welch, NP-C

  • Family Nurse Practitioner
  • Milledgeville, GA
  • NPI 1063546877
  NPD (past)

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

{
    "created_epoch": "1208217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359590400000",
    "number": "1457525065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 AIRPORT RD NE",
            "city": "MILLEDGEVILLE",
            "state": "GA",
            "postal_code": "310619313",
            "telephone_number": "478-453-0077",
            "fax_number": "478-453-0790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 AIRPORT RD NE",
            "city": "MILLEDGEVILLE",
            "state": "GA",
            "postal_code": "310619313",
            "telephone_number": "478-453-0077",
            "fax_number": "478-453-0790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPASSIONATE CARE CLINIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-15",
        "last_updated": "2013-01-31",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "J.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "478-453-0077"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Milledgeville, GA
• Primary Care Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2013; 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.