Active NPI
Central Georgia Total Care, LLC
- Family Medicine Physician
- Warner Robins, GA
National Provider Identifier
1710379649
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 021140
- Legal business name
- CENTRAL GEORGIA TOTAL CARE, LLC
- Practice address
- 644 Tallulah TRL
Warner Robins, GA 31088-7625 - Phone
- (478) 333-2100
- Fax
- (478) 333-5201
- NPI assigned
- Mar 2, 2015
- Last updated
- Mar 2, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ralph Austin Jr., MD
- Title
- Owner
- Phone
- (478) 747-9317
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 021140 | GA | Primary |
Addresses
Primary practice location
644 Tallulah TRL
Warner Robins, GA 31088-7625
Mailing address
644 Tallulah TRL
Warner Robins, GA 31088-7625
Phone (478) 333-2100
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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.
-
- Family Medicine Physician
- Macon, GA
- NPI 1093758294
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1425254400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1425254400000",
"number": "1710379649",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "644 TALLULAH TRL",
"city": "WARNER ROBINS",
"state": "GA",
"postal_code": "310887625",
"telephone_number": "478-333-2100",
"fax_number": "478-333-5201"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "644 TALLULAH TRL",
"city": "WARNER ROBINS",
"state": "GA",
"postal_code": "310887625",
"telephone_number": "478-333-2100",
"fax_number": "478-333-5201"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CENTRAL GEORGIA TOTAL CARE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-03-02",
"last_updated": "2015-03-02",
"status": "A",
"authorized_official_last_name": "AUSTIN",
"authorized_official_first_name": "RALPH",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "478-747-9317",
"authorized_official_name_suffix": "Jr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "GA",
"license": "021140",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Warner Robins, GA
- Central Georgia Health Care Center, PC
- Central Georgia Heart Institue, LLC
- Central Georgia Periodontics & Dental Implants LLC
- Central Georgia Periodontics and Dental Implants
- Central Georgia Professional Hearing Services, LLC
- Central Georgia Women Health Care
- Cep America-Georgia PC
- Eugenia Chalfa
- Lee R Chambers, LCSW, MAC,CAADC, RAS
- Michelle Qunai Chambers, LCSW
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.