Oakley Family Medical Clinic LLX

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

032649 Issued in GA

Legal business name

OAKLEY FAMILY MEDICAL CLINIC LLX

Practice address

7794 Ella LN
Ste G
Fairburn, GA 30213-5511

Phone

(770) 969-0004

NPI assigned

Oct 13, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Peter B Ruy, M.D.

Title

Medical Director

Phone

(770) 969-0004

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1286928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1286928000000",
    "number": "1598075475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7794 ELLA LN",
            "address_2": "STE G",
            "city": "FAIRBURN",
            "state": "GA",
            "postal_code": "302135511",
            "telephone_number": "770-969-0004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7794 ELLA LN",
            "address_2": "STE G",
            "city": "FAIRBURN",
            "state": "GA",
            "postal_code": "302135511",
            "telephone_number": "770-969-0004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OAKLEY FAMILY MEDICAL CLINIC LLX",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-13",
        "last_updated": "2010-10-13",
        "status": "A",
        "authorized_official_last_name": "RUY",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "770-969-0004",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "GA",
            "license": "032649",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Monique Norris, REGISTERED NURSE
• Ifeoma Nsonwu
• Nume Therapy LLC.
• Nurtured
• Daisy Uchechi Nwosu
• Nkemakolem Eluroma Obaze-Adegbite, NP
• Aminat Tunrayo Ogunmeru
• Clement Emeka Okpala, PHARMD
• Stella Ngozi Okpala
• On Demand 4 Kidz & Adultz Mobile Phlebotomy Services LLC

• Clinic/Center in Fairburn, GA
• Providers in Fairburn, GA by specialty
• Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2010; 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.