Ga Physician Services, LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

GA PHYSICIAN SERVICES, LLC

Practice address

160 Central Ave
Trion, GA 30753-1125

Phone

(706) 734-7302

Fax

(706) 734-7356

NPI assigned

Feb 4, 2019

Organization subpart

No

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

Authorized official

Name

Suzanne Jackson

Title

VP

Phone

(469) 549-8616

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Russell William Smith, DNP, FNP-C

  • Family Nurse Practitioner
  • Atlanta, GA
  • NPI 1902497142
  NPD (past)

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

{
    "created_epoch": "1549238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1551139200000",
    "number": "1699230656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 HEALTH PARK DR",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370274525",
            "telephone_number": "615-372-7600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 CENTRAL AVE",
            "city": "TRION",
            "state": "GA",
            "postal_code": "307531125",
            "telephone_number": "706-734-7302",
            "fax_number": "706-734-7356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GA PHYSICIAN SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-04",
        "last_updated": "2019-02-26",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "SUZANNE",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "469-549-8616"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph Edwin Cook, R.PH.
• Jennifer Leigh Crisp, PHARM. D
• DJTR Holdings Inc
• DJTR Holdings, Inc
• Savin Durham
• Georgia Correctional Industries
• Joann H Harris, APRN-BC
• Jennifer Johnson Hays, MSN FNP APRN CDCES
• Healthstat Onsite Clinic MVM Trion
• Hometown Medical Group

• All providers in Trion, GA
• Family Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2019; 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.