Organization Active NPI

Ga First Choice Network Inc

  • Family Medicine Physician
  • Doraville, GA
National Provider Identifier
1659540615
Registry record updated Feb 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
GA FIRST CHOICE NETWORK INC
Practice address
2544 McClave Dr
Suite 107-108
Doraville, GA 30340-1909
Phone
(770) 454-8030
Fax
(770) 454-7662
NPI assigned
Feb 25, 2008
Last updated
Feb 25, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2008

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

Authorized official

Name
Wilmer A Loza
Title
President
Phone
(770) 454-8030

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

2544 McClave Dr
Suite 107-108
Doraville, GA 30340-1909

Mailing address

2544 McClave Dr
Suite 107-108
Doraville, GA 30340-1909
Phone (770) 454-8030

National Provider Directory

National Provider Directory

Locations

2544 McClave Dr
Ste 107108
Doraville, GA 30340
Phone (770) 454-8030

2544 McClave Dr
Ste 108
Doraville, GA 30340
Phone (770) 454-8030

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1203897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203897600000",
    "number": "1659540615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2544 MCCLAVE DR",
            "address_2": "SUITE 107-108",
            "city": "DORAVILLE",
            "state": "GA",
            "postal_code": "303401909",
            "telephone_number": "770-454-8030",
            "fax_number": "770-454-7662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2544 MCCLAVE DR",
            "address_2": "SUITE 107-108",
            "city": "DORAVILLE",
            "state": "GA",
            "postal_code": "303401909",
            "telephone_number": "770-454-8030",
            "fax_number": "770-454-7662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GA FIRST CHOICE NETWORK INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-25",
        "last_updated": "2008-02-25",
        "status": "A",
        "authorized_official_last_name": "LOZA",
        "authorized_official_first_name": "WILMER",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "770-454-8030"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Doraville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 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.