Organization Active NPI

HWC Therapy Center, Inc.

  • Health Maintenance Organization
  • Fayetteville, GA
National Provider Identifier
1689704108
Registry record updated Oct 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
Legal business name
HWC THERAPY CENTER, INC.
Practice address
215 Banks Sta
Fayetteville, GA 30214-7505
Phone
(770) 719-4949
NPI assigned
Mar 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2011

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

Authorized official

Name
Gilbert Osborne
Title
Insurance Coordinator
Phone
(770) 719-4949

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X Primary

Addresses

Primary practice location

215 Banks Sta
Fayetteville, GA 30214-7505

Mailing address

215 Banks Sta
Fayetteville, GA 30214-7505

National Provider Directory

National Provider Directory

Locations

143 Rainbow Way
Fayetteville, GA 30214
Phone (770) 719-4949

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318377600000",
    "number": "1689704108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 BANKS STA",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302147505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 BANKS STA",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302147505",
            "telephone_number": "770-719-4949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HWC THERAPY CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-06",
        "last_updated": "2011-10-12",
        "status": "A",
        "authorized_official_last_name": "OSBORNE",
        "authorized_official_first_name": "GILBERT",
        "authorized_official_title_or_position": "INSURANCE COORDINATOR",
        "authorized_official_telephone_number": "770-719-4949"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2011; 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.