Community Clinics of Georgia, LLC

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

License

75206 Issued in GA

Legal business name

COMMUNITY CLINICS OF GEORGIA, LLC

Practice address

3 Washington Ave
Gainesville, GA 30501-4135

Phone

(678) 707-8539

Fax

(678) 989-1605

NPI assigned

Feb 26, 2016

Organization subpart

No

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

Authorized official

Name

Dr. John James Di Blasi, D.O.

Title

Physician

Phone

(904) 482-9673

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Johnny James Di Blasi, D.O.

  • Family Medicine Physician
  • Batavia, NY
  • NPI 1386058469
  NPD (past)

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

{
    "created_epoch": "1456444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456444800000",
    "number": "1740640150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 WASHINGTON AVE",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305014135",
            "telephone_number": "678-707-8539",
            "fax_number": "678-989-1605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 WASHINGTON AVE",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305014135",
            "telephone_number": "678-707-8539",
            "fax_number": "678-989-1605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY CLINICS OF GEORGIA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-26",
        "last_updated": "2016-02-26",
        "status": "A",
        "authorized_official_last_name": "DI BLASI",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "904-482-9673",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "GA",
            "license": "75206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Baxter Collier, PA-C
• Erica E Collier, AAC
• Darrice Collins, D.P.M.
• Hannah Catherine Collins, FNP-BC
• Joshua Scott Colliver, PA-C
• Community Health Concepts, LLC
• Complete Health Diagnostics, Inc.
• Comprehensive Nursing Care Inc.
• John Alexander Connell, M.D.
• Alaina Samples Conner, PHD

• Health Service Clinic/Center in Gainesville, GA
• Providers in Gainesville, GA by specialty
• Health Service Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 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.