Active NPI
Cartersville Occupational Medicine Center, LLC
- Occupational Medicine Clinic/Center
- Cartersville, GA
National Provider Identifier
1609933829
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Medicine Clinic/Center
- Legal business name
- CARTERSVILLE OCCUPATIONAL MEDICINE CENTER, LLC
- Practice address
- 958 Joe Frank Harris Pkwy SE
Suite 100
Cartersville, GA 30120-2158 - Phone
- (770) 387-8183
- Fax
- (770) 606-2127
- NPI assigned
- Jan 3, 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
- Mr. Benjamin Edward McDonald
- Title
- Chief Financial Officer
- Phone
- (770) 387-8183
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Medicine Clinic/Center | 261QX0100X | Primary |
Addresses
Primary practice location
958 Joe Frank Harris Pkwy SE
Suite 100
Cartersville, GA 30120-2158
Mailing address
958 Joe Frank Harris Pkwy SE
Suite 100
Cartersville, GA 30120-2158
Phone (770) 387-8183
National Provider Directory
National Provider DirectoryLocations
958 Joe Frank Harris Pkwy SE
Ste 100
Cartersville, GA 30120
Phone (470) 490-2260
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167782400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1609933829",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "958 JOE FRANK HARRIS PKWY SE",
"address_2": "SUITE 100",
"city": "CARTERSVILLE",
"state": "GA",
"postal_code": "301202158",
"telephone_number": "770-387-8183",
"fax_number": "770-606-2127"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "958 JOE FRANK HARRIS PKWY SE",
"address_2": "SUITE 100",
"city": "CARTERSVILLE",
"state": "GA",
"postal_code": "301202158",
"telephone_number": "770-387-8183",
"fax_number": "770-606-2127"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CARTERSVILLE OCCUPATIONAL MEDICINE CENTER, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-03",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "MCDONALD",
"authorized_official_first_name": "BENJAMIN",
"authorized_official_middle_name": "EDWARD",
"authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
"authorized_official_telephone_number": "770-387-8183",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "261QX0100X",
"taxonomy_group": "",
"desc": "Clinic/Center, Occupational Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cartersville, GA
- Cartersville Medical Center LLC
- Cartersville Medical Center, LLC
- Cartersville Neurology, P.C.
- Cartersville Nursing LLC
- Cartersville OB-GYN Assoc PC
- Cartersville Pediatric Associates
- Cartersville Personal Care Home
- Cartersville Physician Practice I LLC
- Cartersville Physician Practice Network, Inc
- Cartersville School System
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.