NPIMap

Organization Active NPI

Phoebe Primary Care of Camilla

Doing business as Camilla Family Care

  • Multi-Specialty Clinic/Center
  • Camilla, GA
National Provider Identifier
1700310059
Registry record updated Apr 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
PHOEBE PRIMARY CARE OF CAMILLA
Doing business as
Camilla Family Care
Practice address
725 US Highway 19 S
Camilla, GA 31730
Phone
(229) 336-5208
Fax
(229) 336-8260
NPI assigned
Apr 13, 2017
Last updated
Apr 13, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2017

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

Authorized official

Name
Robin Brown
Title
Cfo
Phone
(229) 565-9403

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X GA Primary

Addresses

Primary practice location

725 US Highway 19 S
Camilla, GA 31730

Mailing address

500 W 3Rd Ave Ste 101
Albany, GA 31701-1900
Phone (229) 312-5802

Other names 1

  • Camilla Family Care Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Sumter Specialty Medicine26 organizations share this tax ID, including this one

Other organizations with this tax ID 25

Organizations that report the same tax identification number in the National Provider Directory.

View all 25

NPI Registry JSON

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

{
    "created_epoch": "1492041600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492041600000",
    "number": "1700310059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 W 3RD AVE STE 101",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317011900",
            "telephone_number": "229-312-5802",
            "fax_number": "229-312-5885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 US HIGHWAY 19 S",
            "city": "CAMILLA",
            "state": "GA",
            "postal_code": "31730",
            "telephone_number": "229-336-5208",
            "fax_number": "229-336-8260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHOEBE PRIMARY CARE OF CAMILLA",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-13",
        "last_updated": "2017-04-13",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "229-565-9403"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Camilla Family Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Camilla, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2017; 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.