Prikare PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

041118 Issued in GA

Legal business name

PRIKARE PC

Practice address

2350 Limestone Pkwy
Gainesville, GA 30501-2013

Phone

(770) 539-9600

Fax

(770) 539-9605

NPI assigned

Jun 21, 2013

Last updated

May 15, 2014By 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. Kenneth Willoughby Fogarty II, M.D.NPI 1396725214

Title

Owner

Phone

(770) 539-9600

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

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.

• Kenneth W Fogarty II, MD

  • Internal Medicine Physician
  • Gainesville, GA
  • NPI 1396725214
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1371772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400112000000",
    "number": "1528407608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2350 LIMESTONE PKWY",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305012013",
            "telephone_number": "770-539-9600",
            "fax_number": "770-539-9605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2350 LIMESTONE PKWY",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305012013",
            "telephone_number": "770-539-9600",
            "fax_number": "770-539-9605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIKARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-21",
        "last_updated": "2014-05-15",
        "status": "A",
        "authorized_official_last_name": "FOGARTY",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "WILLOUGHBY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-539-9600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "041118",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julie Pardue Presley, M.D.
• Brandon Christopher Preston
• Christian Price, CAA
• Elizabeth A Price, P.A.
• William Price, CRNA
• Primary Care Clinics of Georgia
• Pro-Genex Laboratories Incorporated
• Krisi April Probert, OT
• Professional Health Services, Inc.
• Professional Therapy Services, LLC

• Internal Medicine Physician in Gainesville, GA
• Providers in Gainesville, GA by specialty
• Internal Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.