West Georgia Family Practice P.C

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

061946 Issued in GA

Legal business name

WEST GEORGIA FAMILY PRACTICE P.C

Practice address

301 Medical Dr
Suite 503
Lagrange, GA 30240-4144

Phone

(678) 867-7630

NPI assigned

May 18, 2009

Organization subpart

No

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

Authorized official

Name

Srinivas Rao Bramhadevi, M.D

Title

Owner

Phone

(678) 867-7630

Specialties & licenses 1

Addresses

Practitioners 1

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

• Srinivas R Bramhadevi, MD

  • Family Medicine Physician
  • Lagrange, GA
  • NPI 1750338968
  NPD (past)

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

{
    "created_epoch": "1242604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1258329600000",
    "number": "1669607891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 MEDICAL DR",
            "address_2": "SUITE 503",
            "city": "LAGRANGE",
            "state": "GA",
            "postal_code": "302404144",
            "telephone_number": "706-882-2447",
            "fax_number": "706-882-2473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 MEDICAL DR",
            "address_2": "SUITE 503",
            "city": "LAGRANGE",
            "state": "GA",
            "postal_code": "302404144",
            "telephone_number": "678-867-7630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST GEORGIA FAMILY PRACTICE P.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-18",
        "last_updated": "2009-11-16",
        "status": "A",
        "authorized_official_last_name": "BRAMHADEVI",
        "authorized_official_first_name": "SRINIVAS RAO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "678-867-7630",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "061946",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in Lagrange, GA
• Providers in Lagrange, 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 Nov 16, 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.