Physicians Family Medicine of Canton, LLC

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

Legal business name

PHYSICIANS FAMILY MEDICINE OF CANTON, LLC

Practice address

720 Transit Ave
Ste 101
Canton, GA 30114-2571

Phone

(770) 720-7000

Fax

(770) 720-7055

NPI assigned

May 30, 2008

Organization subpart

No

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

Authorized official

Name

Stephanie Cocciolo

Title

Billing Supervisor

Phone

(770) 720-7100

Specialties & licenses 2

Addresses

Other names 1

• MD Minor Emergency & Family Medicine Doing business as

Locations

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

{
    "created_epoch": "1212105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462320000000",
    "number": "1740448372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 TRANSIT AVE",
            "address_2": "STE 101",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "301142571",
            "telephone_number": "770-720-7000",
            "fax_number": "770-720-7055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 TRANSIT AVE",
            "address_2": "STE 101",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "301142571",
            "telephone_number": "770-720-7000",
            "fax_number": "770-720-7055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICIANS FAMILY MEDICINE OF CANTON, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-30",
        "last_updated": "2016-05-04",
        "status": "A",
        "authorized_official_last_name": "COCCIOLO",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "BILLING SUPERVISOR",
        "authorized_official_telephone_number": "770-720-7100"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MD Minor Emergency & Family Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Stephen Matthew Phelps, D.M.D.
• Alice Jyothi Philip, M.D.
• Megan Elizabeth Phillips, PHARMD
• Pushpa Phillips, MD
• Physcians Immediate Med of Canton, PC
• Physiotherapy Associates Inc
• Leaanne Pierce
• Dorian Elise Pilcher, PHARMD
• Cheryl M Pines, MPT
• Pinnacle Orthopaedics & Sports Medicine Specialists LLC

• Urgent Care Clinic/Center in Canton, GA
• Providers in Canton, GA by specialty
• Urgent Care Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2016; 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.