NPIMap

Organization Active NPI

C-Worth Family Walk-in Clinic

  • Primary Care Clinic/Center
  • Chatsworth, GA
National Provider Identifier
1508205006
Registry record updated Jun 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
RN097481 Issued in GA
Legal business name
C-WORTH FAMILY WALK-IN CLINIC
Practice address
2976 Highway 76
Ste B
Chatsworth, GA 30705-6981
Phone
(706) 517-0656
Fax
(706) 517-0651
NPI assigned
Jun 18, 2013
Last updated
Jun 18, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2013

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

Authorized official

Name
Mrs. Robin Roe, FNPNPI 1518168681
Title
Nurse Practitioner
Phone
(706) 517-0656

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X RN097481 GA Primary

Addresses

Primary practice location

2976 Highway 76
Ste B
Chatsworth, GA 30705-6981

Mailing address

2976 Highway 76
Ste B
Chatsworth, GA 30705-6981
Phone (706) 517-0656

National Provider Directory

National Provider Directory
Tax ID family
C-Worth Family Walk-in Clinic4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1371513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1371513600000",
    "number": "1508205006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2976 HIGHWAY 76",
            "address_2": "STE B",
            "city": "CHATSWORTH",
            "state": "GA",
            "postal_code": "307056981",
            "telephone_number": "706-517-0656",
            "fax_number": "706-517-0651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2976 HIGHWAY 76",
            "address_2": "STE B",
            "city": "CHATSWORTH",
            "state": "GA",
            "postal_code": "307056981",
            "telephone_number": "706-517-0656",
            "fax_number": "706-517-0651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "C-WORTH FAMILY WALK-IN CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-18",
        "last_updated": "2013-06-18",
        "status": "A",
        "authorized_official_last_name": "ROE",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "706-517-0656",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "GA",
            "license": "RN097481",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chatsworth, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 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.