Commerce Physicians Group LLC

Primary specialty

Hospitalist PhysicianTaxonomy code 208M00000X

License

001437 Issued in GA

Legal business name

COMMERCE PHYSICIANS GROUP LLC

Practice address

70 Medical Center Dr
Commerce, GA 30529-1078

Phone

(706) 335-1113

NPI assigned

Jul 30, 2012

Last updated

Aug 7, 2012By 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

Larry Ebert

Title

Cfo

Phone

(706) 335-1113

Specialties & licenses 1

Addresses

Other identifiers 1

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Restoration Healthcare of Commerce LLC

  dba Northridge Health and Rehabilitation

  • Skilled Nursing Facility
  • Commerce, GA
  • NPI 1205818903

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1343606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344297600000",
    "number": "1699021576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 MEDICAL CENTER DR",
            "city": "COMMERCE",
            "state": "GA",
            "postal_code": "305291078",
            "telephone_number": "706-335-1113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 MEDICAL CENTER DR",
            "city": "COMMERCE",
            "state": "GA",
            "postal_code": "305291078",
            "telephone_number": "706-335-1113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMERCE PHYSICIANS GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-30",
        "last_updated": "2012-08-07",
        "status": "A",
        "authorized_official_last_name": "EBERT",
        "authorized_official_first_name": "LARRY",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "706-335-1113"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Hospitalist",
            "state": "GA",
            "license": "001437",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BUSINESS LICENSE",
            "identifier": "2012 001437",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Commerce Ambulatory Surgery Center, Inc.
• Commerce City Schools
• Commerce Family Eyecare
• Commerce Hearing Aid Outlet
• Commerce Orthodontics LLC
• Commerce Radiology, LLC
• Commerce Spinal Center,P.C.
• Commerce Vision Center
• Commerce Vision Group, LLC
• Gene R Cotton, RPH

• Hospitalist Physician in Commerce, GA
• Providers in Commerce, GA by specialty
• Hospitalist Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2012; 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.