Organization Active NPI

Express Medical Homecare

  • Nurse Practitioner
  • Newnan, GA
National Provider Identifier
1457617763
Registry record updated Apr 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
Legal business name
EXPRESS MEDICAL HOMECARE
Practice address
931 Lower Fayetteville Rd
Suite J
Newnan, GA 30263-5790
Phone
(770) 683-4772
Fax
(770) 683-4775
NPI assigned
Apr 11, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2012

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

Authorized official

Name
Mrs. Vanessa Howell-Philip, NP
Title
Director
Phone
(770) 683-4772

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363L00000X Primary

Addresses

Primary practice location

931 Lower Fayetteville Rd
Suite J
Newnan, GA 30263-5790

Mailing address

931 Lower Fayetteville Rd
Suite J
Newnan, GA 30263-5790
Phone (770) 683-4772

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1334102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334102400000",
    "number": "1457617763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "931 LOWER FAYETTEVILLE RD",
            "address_2": "SUITE J",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "302635790",
            "telephone_number": "770-683-4772",
            "fax_number": "770-683-4775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "931 LOWER FAYETTEVILLE RD",
            "address_2": "SUITE J",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "302635790",
            "telephone_number": "770-683-4772",
            "fax_number": "770-683-4775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXPRESS MEDICAL HOMECARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-11",
        "last_updated": "2012-04-11",
        "status": "A",
        "authorized_official_last_name": "HOWELL-PHILIP",
        "authorized_official_first_name": "VANESSA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "770-683-4772",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newnan, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2012; 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.