NPIMap

Organization Active NPI

Charlton Family Care, Inc

  • Internal Medicine Physician
  • Kingsland, GA
National Provider Identifier
1598032112
Registry record updated Nov 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
55077 Issued in GA
Legal business name
CHARLTON FAMILY CARE, INC
Practice address
190 Austin Ryan Dr
Kingsland, GA 31548-6191
Phone
(917) 288-6765
NPI assigned
Nov 28, 2011
Last updated
Nov 28, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2011

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

Authorized official

Name
Dr. Maged Edward Abdelmalik, M.D.NPI 1770558470
Title
President
Phone
(917) 288-6765

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 55077 GA Primary

Addresses

Primary practice location

190 Austin Ryan Dr
Kingsland, GA 31548-6191

Mailing address

190 Austin Ryan Dr
Kingsland, GA 31548-6191
Phone (917) 288-6765

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1322438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322438400000",
    "number": "1598032112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190 AUSTIN RYAN DR",
            "city": "KINGSLAND",
            "state": "GA",
            "postal_code": "315486191",
            "telephone_number": "917-288-6765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 AUSTIN RYAN DR",
            "city": "KINGSLAND",
            "state": "GA",
            "postal_code": "315486191",
            "telephone_number": "917-288-6765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLTON FAMILY CARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-28",
        "last_updated": "2011-11-28",
        "status": "A",
        "authorized_official_last_name": "ABDELMALIK",
        "authorized_official_first_name": "MAGED",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "917-288-6765",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "55077",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingsland, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2011; 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.