Middle Ga Family Practice LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

MIDDLE GA FAMILY PRACTICE LLC

Practice address

1085 Plaza Ave Ste a
Eastman, GA 31023-9102

Phone

(478) 220-5444

Fax

(478) 559-1073

NPI assigned

Feb 18, 2026

Organization subpart

No

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

Authorized official

Name

Jina J Fordham

Title

Manager

Phone

(478) 220-5444

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

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

• Kimberli H Carpenter, MD

  • Anesthesiology Physician
  • Macon, GA
  • NPI 1023073046

  GA

  Medicare reassignment Care Compare group NPD
• Zachary Bryan Chaney, MSN, APRN, FNP-C

  • Family Nurse Practitioner
  • Eastman, GA
  • NPI 1225715279

  GA

  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1771372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783296000000",
    "number": "1669325643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1085 PLAZA AVE STE A",
            "city": "EASTMAN",
            "state": "GA",
            "postal_code": "310239102",
            "telephone_number": "478-220-5444",
            "fax_number": "478-559-1073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1085 PLAZA AVE STE A",
            "city": "EASTMAN",
            "state": "GA",
            "postal_code": "310239102",
            "telephone_number": "478-220-5444",
            "fax_number": "478-559-1073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDDLE GA FAMILY PRACTICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-02-18",
        "last_updated": "2026-07-06",
        "certification_date": "2026-07-06",
        "status": "A",
        "authorized_official_last_name": "FORDHAM",
        "authorized_official_first_name": "JINA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "478-220-5444"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katrina Dion Means, PHARMACIST
• Med Cross Imaging LLC
• Medical Center Prescription Shop
• Medical Center Prescription Shop
• Mid Georgia Total Care LLC
• Middle Georgia Family Medicine,LLC
• Middle Georgia Nursing Home, Inc
• Middle Georgia Nursing Home, Inc.
• Middle Georgia Sleep & Wellness Center, LLC
• Middle Georgia Total Health Center, LLC

• All providers in Eastman, GA
• Primary Care Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.