Organization Active NPI

Alcovy Family Medicine, LLC

  • Family Medicine Physician
  • Monroe, GA
National Provider Identifier
1639300700
Registry record updated Aug 6, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
055050 Issued in GA
Legal business name
ALCOVY FAMILY MEDICINE, LLC
Practice address
705 Breedlove Dr
Ste 100
Monroe, GA 30655-2090
Phone
(770) 266-0305
Fax
(770) 266-0310
NPI assigned
Aug 6, 2009
Last updated
Aug 6, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2009

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

Authorized official

Name
Dr. Melvin Glover, M.D.
Title
Physician
Phone
(770) 266-0305

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 055050 GA Primary

Addresses

Primary practice location

705 Breedlove Dr
Ste 100
Monroe, GA 30655-2090

Mailing address

705 Breedlove Dr
Ste 100
Monroe, GA 30655-2090
Phone (770) 266-0305

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1249516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1249516800000",
    "number": "1639300700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "705 BREEDLOVE DR",
            "address_2": "STE 100",
            "city": "MONROE",
            "state": "GA",
            "postal_code": "306552090",
            "telephone_number": "770-266-0305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 BREEDLOVE DR",
            "address_2": "STE 100",
            "city": "MONROE",
            "state": "GA",
            "postal_code": "306552090",
            "telephone_number": "770-266-0305",
            "fax_number": "770-266-0310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALCOVY FAMILY MEDICINE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-06",
        "last_updated": "2009-08-06",
        "status": "A",
        "authorized_official_last_name": "GLOVER",
        "authorized_official_first_name": "MELVIN",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "770-266-0305",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "055050",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2009; 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.