Lafayette Family Practice

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

22056 Issued in GA

Legal business name

LAFAYETTE FAMILY PRACTICE

Practice address

611 N Main St
La Fayette, GA 30728-2241

Phone

(706) 638-5300

Fax

(706) 638-5323

NPI assigned

Aug 17, 2007

Last updated

Oct 4, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. George Paul Shaw Jr., M.DNPI 1366485948

Title

Doctor

Phone

(706) 638-5300

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, and the practitioner matching its NPPES authorized official.

• George Paul Shaw Jr., MD

  • Family Medicine Physician
  • La Fayette, GA
  • NPI 1366485948
  NPD Authorized official

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

{
    "created_epoch": "1187308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191456000000",
    "number": "1508058066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 N MAIN ST",
            "city": "LA FAYETTE",
            "state": "GA",
            "postal_code": "307282241",
            "telephone_number": "706-638-5300",
            "fax_number": "706-638-5323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 N MAIN ST",
            "city": "LA FAYETTE",
            "state": "GA",
            "postal_code": "307282241",
            "telephone_number": "706-638-5300",
            "fax_number": "706-638-5323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAFAYETTE FAMILY PRACTICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-17",
        "last_updated": "2007-10-04",
        "status": "A",
        "authorized_official_last_name": "SHAW",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "706-638-5300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "22056",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aubry Lynn Knight, MSN, FNP-C
• Virginia Baldwin Kohl
• La Fayette Prescription Shop
• Lafayette After Hours, LLC
• Lafayette Family Care, LLC
• Lafayette Medical Providers (Mainstreet Family Practice)
• Ledford RX Express Inc
• Ledford RX Express Inc (Ledford Rx Express Pharmacy)
• Madison J Ledford, RPH
• Ledfords RX Express

• Family Medicine Physician in La Fayette, GA
• Providers in La Fayette, 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 Oct 4, 2007; 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.