Organization Active NPI

Family Health Care of Macon, P.C.

  • Family Medicine Physician
  • Macon, GA
National Provider Identifier
1619157997
Registry record updated Nov 17, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
034857 Issued in GA
Legal business name
FAMILY HEALTH CARE OF MACON, P.C.
Practice address
3096 Riverside Dr
Suite D
Macon, GA 31210-2545
Phone
(478) 405-2222
Fax
(478) 405-2229
NPI assigned
Nov 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2007

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

Authorized official

Name
Dr. Walter Stephen Hutchings, M.D.NPI 1952460255
Title
Owner
Phone
(478) 405-2222

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 034857 GA Primary

Addresses

Primary practice location

3096 Riverside Dr
Suite D
Macon, GA 31210-2545

Mailing address

3096 Riverside Dr
Suite D
Macon, GA 31210-2545
Phone (478) 405-2222

Other identifiers 2

IdentifierTypeStateIssuer
GRP1347OtherGAMEDICARE
00473888AMedicaidGA

National Provider Directory

National Provider Directory

Locations

3096 Riverside Dr
Ste D
Macon, GA 31210
Phone (478) 405-2222

800 1st St
Ste 210
Macon, GA 31201
Phone (478) 746-8626

Practitioners & affiliated clinicians

Practitioners 4

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": "1194220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195257600000",
    "number": "1619157997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3096 RIVERSIDE DR",
            "address_2": "SUITE D",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312102545",
            "telephone_number": "478-405-2222",
            "fax_number": "478-405-2229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3096 RIVERSIDE DR",
            "address_2": "SUITE D",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312102545",
            "telephone_number": "478-405-2222",
            "fax_number": "478-405-2229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY HEALTH CARE OF MACON, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-05",
        "last_updated": "2007-11-17",
        "status": "A",
        "authorized_official_last_name": "HUTCHINGS",
        "authorized_official_first_name": "WALTER",
        "authorized_official_middle_name": "STEPHEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "478-405-2222",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "034857",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "GRP1347",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00473888A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Macon, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2007; 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.