Ball Ground Family Practice,P.C.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

045754 Issued in GA

Legal business name

BALL GROUND FAMILY PRACTICE,P.C.

Practice address

255 Gilmer Ferry Rd
Ball Ground, GA 30107-2908

Phone

(770) 735-6755

Fax

(770) 735-4528

NPI assigned

Feb 22, 2008

Last updated

Feb 22, 2008By 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

Charles L Coster, DONPI 1124157722

Title

Physician

Phone

(770) 735-6755

Specialties & licenses 1

Addresses

Tax ID family

Ball Ground Family Practicepc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Coster Care

  dba Ball Ground Family Practice,P.C.

  • Family Medicine Physician
  • Jasper, GA
  • NPI 1275799322
  NPD tax ID

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.

• Charles Leo Coster, D.O

  • Family Medicine Physician
  • Jasper, GA
  • NPI 1124157722
  NPD (past) Authorized official
• Thomas Edwin Evans, M. D.

  • Family Medicine Physician
  • Seneca, SC
  • NPI 1255339131
  NPD (past)

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

{
    "created_epoch": "1203638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203638400000",
    "number": "1609045798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 127",
            "city": "BALL GROUND",
            "state": "GA",
            "postal_code": "301070127",
            "telephone_number": "770-735-6755",
            "fax_number": "770-735-4528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 GILMER FERRY RD",
            "city": "BALL GROUND",
            "state": "GA",
            "postal_code": "301072908",
            "telephone_number": "770-735-6755",
            "fax_number": "770-735-4528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALL GROUND FAMILY PRACTICE,P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-22",
        "last_updated": "2008-02-22",
        "status": "A",
        "authorized_official_last_name": "COSTER",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "770-735-6755",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "045754",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Another Rose Care & Wellness, LLC
• Another Rose Care Initiative
• Another Rose Care-West, LLC
• Another Rose, LLC
• Aylo Health, LLC
• Ball Ground Pharmacy LLC (Ball Ground Pharmacy)
• Ball Ground Pharmacy LLC
• Ball Ground Pharmacy LLC (Ball Ground Pharmacy)
• Ball Ground Upper Cervical Chiropractic LLC
• Laura Berry, LMT, NMT

• Family Medicine Physician in Ball Ground, GA
• Providers in Ball Ground, GA by specialty
• Family Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2008; 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.