CMG Family Wellness Center

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

Legal business name

CMG FAMILY WELLNESS CENTER

Practice address

198 E Jefferson St
Franklin, IN 46131-2323

Phone

(708) 393-7538

NPI assigned

Jan 10, 2014

Last updated

Jan 10, 2014By 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

Georgianne Pangallo, FNP-CNPI 1558360230

Title

FNP

Phone

(708) 393-7533

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Georgianne Pangallo, NP

  • Family Nurse Practitioner
  • Franklin, IN
  • NPI 1558360230
  Authorized official Same address or phone
• Niall Richard Atkinson, FNP

  • Family Nurse Practitioner
  • Franklin, IN
  • NPI 1316930050
  NPD (past)

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

{
    "created_epoch": "1389312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389312000000",
    "number": "1710309703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6948 WINDSOR AVE.",
            "city": "BERVYN",
            "state": "IL",
            "postal_code": "604023335",
            "telephone_number": "708-393-7533",
            "fax_number": "708-394-0911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "198 E JEFFERSON ST",
            "city": "FRANKLIN",
            "state": "IN",
            "postal_code": "461312323",
            "telephone_number": "708-393-7538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CMG FAMILY WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-10",
        "last_updated": "2014-01-10",
        "status": "A",
        "authorized_official_last_name": "PANGALLO",
        "authorized_official_first_name": "GEORGIANNE",
        "authorized_official_title_or_position": "FNP",
        "authorized_official_telephone_number": "708-393-7533",
        "authorized_official_credential": "FNP-C"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abby J Clemens, MMS, PA-C
• Gregory Allen Clements, LMHC
• Ashlie Cleyman
• Clinivara Diagnostics & Billing LLC
• Clinivara Diagnostics and Billing LLC
• Ali M. Coll
• Nathen Colley
• Columbus Chiropractic Inc (Auton Chiropractic & Rehabilitation)
• Tiffany Combs, PTA
• Anne Marie Comstock, MD

• Primary Care Nurse Practitioner in Franklin, IN
• Providers in Franklin, IN by specialty
• Primary Care Nurse Practitioner in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2014; 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.