Organization Active NPI

Nowlin Family Practice, PC

  • Family Medicine Physician
  • Atlanta, GA
National Provider Identifier
1699956631
Registry record updated Nov 19, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036588 Issued in GA
Legal business name
NOWLIN FAMILY PRACTICE, PC
Practice address
285 Boulevard NE Ste 625
Atlanta, GA 30312-4212
Phone
(404) 265-0142
Fax
(770) 996-9528
NPI assigned
Nov 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2007

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

Authorized official

Name
Dr. Phillip W Nowlin, MD
Title
MD
Phone
(404) 214-0162

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 036588 GA Primary

Addresses

Primary practice location

285 Boulevard NE Ste 625
Atlanta, GA 30312-4212

Mailing address

285 Boulevard NE Ste 625
Atlanta, GA 30312-4212
Phone (404) 265-0142

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1195430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195430400000",
    "number": "1699956631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "285 BOULEVARD NE STE 625",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303124212",
            "telephone_number": "404-265-0142",
            "fax_number": "770-996-9528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "285 BOULEVARD NE STE 625",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303124212",
            "telephone_number": "404-265-0142",
            "fax_number": "770-996-9528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOWLIN FAMILY PRACTICE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-19",
        "last_updated": "2007-11-19",
        "status": "A",
        "authorized_official_last_name": "NOWLIN",
        "authorized_official_first_name": "PHILLIP",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "404-214-0162",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "036588",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2007; 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.