Organization Active NPI

Georgia Family & Care Services, Inc.

  • Case Management Registered Nurse
  • Macon, GA
National Provider Identifier
1760111025
Registry record updated Jun 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management Registered NurseTaxonomy code 163WC0400X
Legal business name
GEORGIA FAMILY & CARE SERVICES, INC.
Practice address
3312 Northside Dr Ste #a-115 Office #5
Macon, GA 31210-2500
Phone
(478) 714-3285
NPI assigned
Jun 9, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2022

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

Authorized official

Name
Mr. Bruce McCollum
Title
Authorized Official
Phone
(734) 837-1048

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163WC0400X Primary

Addresses

Primary practice location

3312 Northside Dr Ste #a-115 Office #5
Macon, GA 31210-2500

Mailing address

3312 Northside Dr Ste #a-115 Office #5
Macon, GA 31210-2500
Phone (478) 714-3285

National Provider Directory

National Provider Directory

Locations

3312 Northside Dr
Ste A115
Macon, GA 31210
Phone (478) 387-0576

NPI Registry JSON

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

{
    "created_epoch": "1654732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654732800000",
    "number": "1760111025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3312 NORTHSIDE DR STE #A-115 OFFICE #5",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312102500",
            "telephone_number": "478-714-3285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3312 NORTHSIDE DR STE #A-115 OFFICE #5",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312102500",
            "telephone_number": "478-714-3285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGIA FAMILY & CARE SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-09",
        "last_updated": "2022-06-09",
        "certification_date": "2022-06-09",
        "status": "A",
        "authorized_official_last_name": "MCCOLLUM",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "734-837-1048",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "163WC0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Macon, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2022; 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.