Active NPI
Welcare Family Medical
- Specialist
- Lawrenceville, GA
National Provider Identifier
1609903145
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 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 Medical
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Primary Care Clinic/Center
- Lawrenceville, GA
- NPI 1235250408
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.