Organization Active NPI

Welcare Family Medical

  • Specialist
  • Lawrenceville, GA
National Provider Identifier
1609903145
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
WELCARE FAMILY MEDICAL
Practice address
3653 Lawrenceville Hwy
Lawrenceville, GA 30044-4107
Phone
(678) 380-9393
NPI assigned
Feb 28, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Jan P Hill
Title
Credentialing
Phone
(678) 380-9393

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

3653 Lawrenceville Hwy
Lawrenceville, GA 30044-4107

Mailing address

3653 Lawrenceville Hwy
Lawrenceville, GA 30044-4107
Phone (678) 380-9393

National Provider Directory

National Provider Directory
Tax ID family
Welcare Family Medical2 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.

Locations

3653 Lawrenceville Hwy
Lawrenceville, GA 30044
Phone (678) 380-9393

NPI Registry JSON

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1609903145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3653 LAWRENCEVILLE HWY",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300444107",
            "telephone_number": "678-380-9393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3653 LAWRENCEVILLE HWY",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300444107",
            "telephone_number": "678-380-9393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELCARE FAMILY MEDICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HILL",
        "authorized_official_first_name": "JAN",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "678-380-9393"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrenceville, GA

Sources for this page

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