Ware Weight Loss Center, LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

WARE WEIGHT LOSS CENTER, LLC

Practice address

1710 1/2 Alice St
Waycross, GA 31501-5216

Phone

(912) 285-9990

Fax

(912) 283-9797

NPI assigned

Jul 11, 2015

Organization subpart

No

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

Authorized official

Name

Mr. Rick Tatum, PA

Title

Physician Assistant (Partner)

Phone

(912) 285-9990

Specialties & licenses 1

Addresses

Other names 1

• Ware Medical and Weight Loss Center Doing business as

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

{
    "created_epoch": "1436572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445212800000",
    "number": "1679957435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1710 1/2 ALICE ST",
            "city": "WAYCROSS",
            "state": "GA",
            "postal_code": "315015216",
            "telephone_number": "912-285-9990",
            "fax_number": "912-283-9797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1710 1/2 ALICE ST",
            "city": "WAYCROSS",
            "state": "GA",
            "postal_code": "315015216",
            "telephone_number": "912-285-9990",
            "fax_number": "912-283-9797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WARE WEIGHT LOSS CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-11",
        "last_updated": "2015-10-19",
        "status": "A",
        "authorized_official_last_name": "TATUM",
        "authorized_official_first_name": "RICK",
        "authorized_official_title_or_position": "PHYSICIAN ASSISTANT (PARTNER)",
        "authorized_official_telephone_number": "912-285-9990",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PA"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ware Medical and Weight Loss Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ware County Physical Therapy, Inc.
• Ware CS Now
• Ware Express Care, LLC
• Ware Urgent Care, LLC
• Ware Visiting Nurses Service, Inc
• Deionna Berry Washington, LDO
• Cathleen M. Waters
• Melissa Waters, FNP-C
• Richard Watson, PHARMD
• Stephanie Hickman Watson, PHARMD

• Primary Care Clinic/Center in Waycross, GA
• Providers in Waycross, GA by specialty
• Primary Care Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2015; 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.