Middle Georgia Family

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

038594 Issued in GA

Legal business name

MIDDLE GEORGIA FAMILY

Practice address

306 Corder Road
Ste 2
Warner Robins, GA 31088

Phone

(478) 329-0291

Fax

(478) 329-1579

NPI assigned

Mar 13, 2008

Organization subpart

No

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

Authorized official

Name

Michael J Renner, M.D.

Title

Owner/Physician

Phone

(478) 329-0291

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Paul D Dessart, PA-C

  • Medical Physician Assistant
  • Warner Robins, GA
  • NPI 1669592093
  NPD (past)

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

{
    "created_epoch": "1205366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205366400000",
    "number": "1649441163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "306 CORDER ROAD",
            "address_2": "STE 2",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "31088",
            "telephone_number": "478-329-0291",
            "fax_number": "478-329-1579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 CORDER ROAD",
            "address_2": "STE 2",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "31088",
            "telephone_number": "478-329-0291",
            "fax_number": "478-329-1579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDDLE GEORGIA FAMILY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-13",
        "last_updated": "2008-03-13",
        "status": "A",
        "authorized_official_last_name": "RENNER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "478-329-0291",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "038594",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP NUMBER",
            "identifier": "GRP4178",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "392665",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00607626D",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Middle Georgia Colorectal, LLC
• Middle Georgia Complete Care LLC
• Middle Georgia Diabetes Endocrinology Wellness Center, LLC
• Middle Georgia Diagnostic Lab
• Middle Georgia Diagnostic Lab
• Middle Georgia Medical Associates, P.C.
• Middle Georgia Mental Health, LLC
• Middle Georgia Neurology, LLC
• Middle Georgia OB/GYN,PC
• Middle Georgia Psychological Services, LLC

• Family Medicine Physician in Warner Robins, GA
• Providers in Warner Robins, GA by specialty
• Family Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2008; 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.