NPIMap

Organization Active NPI

Ball Ground Family Practice,P.C.

  • Family Medicine Physician
  • Ball Ground, GA
National Provider Identifier
1609045798
Registry record updated Feb 22, 2008
On this page

Key facts

NPPES NPI Registry
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
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2008

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

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
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 045754 GA Primary

Addresses

Primary practice location

255 Gilmer Ferry Rd
Ball Ground, GA 30107-2908

Mailing address

PO Box 127
Ball Ground, GA 30107-0127
Phone (770) 735-6755

National Provider Directory

National Provider Directory
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.

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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": []
}

Other providers in Ball Ground, GA

Sources for this page

  • 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.