Central Georgia Health Care Center, PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

048105 Issued in GA

Legal business name

CENTRAL GEORGIA HEALTH CARE CENTER, PC

Practice address

500 Spillers Way
Warner Robins, GA 31088-0513

Phone

(478) 953-4844

Fax

(478) 953-4824

NPI assigned

Aug 15, 2006

Last updated

Apr 8, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Becky L Campbell, MDNPI 1174551048

Title

Owner

Phone

(478) 953-4844

Specialties & licenses 1

Addresses

Other identifiers 1

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 6

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.

• Becky L. Campbell, MD

  • Internal Medicine Physician
  • Warner Robins, GA
  • NPI 1174551048
  Medicare reassignment NPD Authorized official
• Ashley Cooper Chancellor, NP

  • Family Nurse Practitioner
  • Warner Robins, GA
  • NPI 1669982054
  Medicare reassignment NPD
• Starr Harvill

  • Family Nurse Practitioner
  • Warner Robins, GA
  • NPI 1730507526
  Medicare reassignment NPD
• Amanda Watt, FNP-C

  • Family Nurse Practitioner
  • Warner Robins, GA
  • NPI 1346755469
  Medicare reassignment NPD
• Jaimi Marie Norrell, NP-C

  • Family Nurse Practitioner
  • Jackson, GA
  • NPI 1306126529
  NPD
• Kevin J. Baggett, D.O.

  • Family Medicine Physician
  • Warner Robins, GA
  • NPI 1871550707
  NPD (past)

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

{
    "created_epoch": "1155600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1239148800000",
    "number": "1689687915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 SPILLERS WAY",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310880513",
            "telephone_number": "478-953-4844",
            "fax_number": "478-953-4824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 SPILLERS WAY",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310880513",
            "telephone_number": "478-953-4844",
            "fax_number": "478-953-4824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL GEORGIA HEALTH CARE CENTER, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-15",
        "last_updated": "2009-04-08",
        "status": "A",
        "authorized_official_last_name": "CAMPBELL",
        "authorized_official_first_name": "BECKY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "478-953-4844",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "048105",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP NUMBER",
            "identifier": "GRP7665",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Yasmin Ceacal-Releford, LCSW, LISW-CP, LICSW
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• Central Georgia Counseling Services
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• Central Georgia Periodontics & Dental Implants LLC
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• Central Georgia Professional Hearing Services, LLC
• Central Georgia Total Care, LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2009; 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.