West Georgia Medical Center, Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

WEST GEORGIA MEDICAL CENTER, INC.

Doing business as

Florence Hand Home

Practice address

200 Medical Dr
Lagrange, GA 30240-4153

Phone

(706) 845-3256

Fax

(706) 812-2459

NPI assigned

Sep 3, 2009

Last updated

Feb 24, 2020By 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

Mr. Anthony J Budzinski

Title

Evp

Phone

(470) 644-0012

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Florence Hand Home Doing business as

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.

• Melhim Bou Alwan, M.D.

  • Hospitalist Physician
  • Lagrange, GA
  • NPI 1164736542
  NPD (past)

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

{
    "created_epoch": "1251936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582502400000",
    "number": "1558594879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 PARKWAY PL SE STE 500",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300678237",
            "telephone_number": "470-956-4981",
            "fax_number": "770-999-2489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 MEDICAL DR",
            "city": "LAGRANGE",
            "state": "GA",
            "postal_code": "302404153",
            "telephone_number": "706-845-3256",
            "fax_number": "706-812-2459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST GEORGIA MEDICAL CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-03",
        "last_updated": "2020-02-24",
        "certification_date": "2020-02-24",
        "status": "A",
        "authorized_official_last_name": "BUDZINSKI",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "EVP",
        "authorized_official_telephone_number": "470-644-0012",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00207083A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Florence Hand Home",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Florence Hand Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• West Georgia Medical Center, Inc. (West Georgia Hospice)
• West Georgia Medical Center, Inc. (WellStar West Georgia Medical Center)
• West Georgia Medical Group-Lagrange
• West Georgia Multi Specialty Clinic, PC

• Skilled Nursing Facility in Lagrange, GA
• Providers in Lagrange, GA by specialty
• Skilled Nursing Facility in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2020; 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.