Organization Active NPI

Cartersville Occupational Medicine Center, LLC

  • Occupational Medicine Clinic/Center
  • Cartersville, GA
National Provider Identifier
1609933829
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Medicine Clinic/CenterTaxonomy code 261QX0100X
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

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
Mr. Benjamin Edward McDonald
Title
Chief Financial Officer
Phone
(770) 387-8183

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 Directory

Locations

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

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.