Organization Active NPI

Hillbrook Family Medicine

  • Primary Care Clinic/Center
  • Evans, GA
National Provider Identifier
1760726731
Registry record updated Nov 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
49546 Issued in GA
Legal business name
HILLBROOK FAMILY MEDICINE
Practice address
580 Blue Ridge Dr
Evans, GA 30809-3604
Phone
(706) 364-8501
Fax
(706) 364-8503
NPI assigned
Nov 15, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2012

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

Authorized official

Name
Andrea J Pfeifer, D.O.
Title
Owner/ Physician
Phone
(706) 364-8501

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 49546 GA Primary

Addresses

Primary practice location

580 Blue Ridge Dr
Evans, GA 30809-3604

Mailing address

580 Blue Ridge Dr
Evans, GA 30809-3604
Phone (706) 364-8501

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
11D1008550Hillbrook Family Medicine PC580 Blue Ridge Drive, Evans, GA 30809Provider-performed microscopyJan 22, 2027

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1352937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352937600000",
    "number": "1760726731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "580 BLUE RIDGE DR",
            "city": "EVANS",
            "state": "GA",
            "postal_code": "308093604",
            "telephone_number": "706-364-8501",
            "fax_number": "706-364-8503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "580 BLUE RIDGE DR",
            "city": "EVANS",
            "state": "GA",
            "postal_code": "308093604",
            "telephone_number": "706-364-8501",
            "fax_number": "706-364-8503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HILLBROOK FAMILY MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-15",
        "last_updated": "2012-11-15",
        "status": "A",
        "authorized_official_last_name": "PFEIFER",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER/ PHYSICIAN",
        "authorized_official_telephone_number": "706-364-8501",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "GA",
            "license": "49546",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Evans, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.