Georgia Pro-Health Partners LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

GEORGIA PRO-HEALTH PARTNERS LLC

Practice address

3065 S Cobb Dr SE
Suite B
Smyrna, GA 30080-7809

Phone

(770) 432-1164

NPI assigned

Jan 18, 2011

Organization subpart

No

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

Authorized official

Name

Todd Kohout

Title

Managing Member

Phone

(404) 432-0234

Specialties & licenses 1

Addresses

Other names 1

• South Cobb Pain Management Doing business as

Practitioners 1

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

• Luther Vance Jr., MD

  • Family Medicine Physician
  • Macon, GA
  • NPI 1205001542

  Multi-Specialty

  NPD (past)

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

{
    "created_epoch": "1295308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296086400000",
    "number": "1477858736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5700",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300235700",
            "telephone_number": "404-432-0234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3065 S COBB DR SE",
            "address_2": "SUITE B",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300807809",
            "telephone_number": "770-432-1164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGIA PRO-HEALTH PARTNERS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-18",
        "last_updated": "2011-01-27",
        "status": "A",
        "authorized_official_last_name": "KOHOUT",
        "authorized_official_first_name": "TODD",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "404-432-0234"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "South Cobb Pain Management",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Georgia Imaging Associates PC
• Georgia Medical Specialists
• Georgia Medical Specialists, LLC
• Georgia Psychiatry & Sleep
• Georgia Spine Specialists
• Georgia Spine Specialists
• Georgia Urology Ambulatory Surgery Center Smyrna LLC
• Georgia Urology PA

• Family Medicine Physician in Smyrna, GA
• Providers in Smyrna, GA by specialty
• Family Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2011; 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.