West Georgia Multi Specialty Clinic, PC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

014313 Issued in GA

Legal business name

WEST GEORGIA MULTI SPECIALTY CLINIC, PC

Practice address

106 Lukken Industrial Dr W
Lagrange, GA 30240-5912

Phone

(706) 882-8128

Fax

(706) 883-8638

NPI assigned

Jul 19, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Lois L Copeland

Title

Billing Clerk

Phone

(706) 845-0931

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1184803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337040000000",
    "number": "1487854345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 LUKKEN INDUSTRIAL DR W",
            "city": "LAGRANGE",
            "state": "GA",
            "postal_code": "302405912",
            "telephone_number": "706-882-8128",
            "fax_number": "706-883-8638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 LUKKEN INDUSTRIAL DR W",
            "city": "LAGRANGE",
            "state": "GA",
            "postal_code": "302405912",
            "telephone_number": "706-882-8128",
            "fax_number": "706-883-8638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST GEORGIA MULTI SPECIALTY CLINIC, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-19",
        "last_updated": "2012-05-15",
        "status": "A",
        "authorized_official_last_name": "COPELAND",
        "authorized_official_first_name": "LOIS",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "BILLING CLERK",
        "authorized_official_telephone_number": "706-845-0931",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": "GA",
            "license": "014313",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• West Georgia Medical Center, Inc.
• West Georgia Medical Center, Inc.
• West Georgia Medical Center, Inc.
• West Georgia Medical Center, Inc.
• West Georgia Medical Group-Lagrange
• West Georgia Star
• Gayle Whaley, RN
• Caleb M White, DPT, PT
• Jeremy Jason White, DO/PHD
• Stephanie White, CRNP

• Surgery Physician in Lagrange, GA
• Providers in Lagrange, GA by specialty
• Surgery Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 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.