The Family Health Centers of Georgia, Inc

Primary specialty

Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X

Legal business name

THE FAMILY HEALTH CENTERS OF GEORGIA, INC

Doing business as

The Family Health Center @ Adamsville Regional Health Center

Practice address

3700 Martin Luther King Jr Dr SW
Atlanta, GA 30331-3674

Phone

(404) 613-6384

Fax

(404) 893-6856

NPI assigned

May 4, 2012

Last updated

Oct 7, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Michael W Brooks, MDNPI 1174513089

Title

President, Ceo

Phone

(404) 752-1400

Specialties & licenses 1

Addresses

Other names 1

• The Family Health Center @ Adamsville Regional Health Center Doing business as

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1760741102. Details of each certification follow.

• CCN 111946 Federally qualified health center · Active · Name & address match · Details

Federally qualified health center certification: CCN 111946

Legal name

WEST END MEDICAL CENTER AT ADAMSVILLE

Certification status

Active

Provider type (POS)

Federally qualified health center

Participating since

Jun 28, 2012

Last certification

Jun 28, 2012

Ownership / control type

For profit – corporation

Facility address

3700 Martin Luther King, Jr Drive
Atlanta, GA 30331

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.

• Michael Wayne Brooks, M.D.

  • Internal Medicine Physician
  • Atlanta, GA
  • NPI 1174513089
  Authorized official Same address or phone

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

{
    "created_epoch": "1336089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412640000000",
    "number": "1760741102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "868 YORK AVE SW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303102750",
            "telephone_number": "404-752-1400",
            "fax_number": "404-756-8749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3700 MARTIN LUTHER KING JR DR SW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303313674",
            "telephone_number": "404-613-6384",
            "fax_number": "404-893-6856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE FAMILY HEALTH CENTERS OF GEORGIA, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-04",
        "last_updated": "2014-10-07",
        "status": "A",
        "authorized_official_last_name": "BROOKS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT, CEO",
        "authorized_official_telephone_number": "404-752-1400",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Family Health Center @ Adamsville Regional Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• The Epitome, LLC
• The Family and Children Counseling Center, LLC
• The Family Health Centers of Georgia
• The Family Health Centers of Georgia, Inc (The Family Health Center at West End)
• The Family Health Centers of Georgia, Inc (The Family Health Center@ Bolton Village)
• The Family Health Centers of Georgia, Inc (Georgia Center for Women)
• The Family Health Centers of Georgia, Inc (The Family Health Center @ Neighborhood Union)
• The Family Health Centers of Georgia, Inc (Georgia Center for Women)
• The Family Health Centers of Georgia, Inc (Love T. Noland School-Based Health Center)
• The Fern Center for Life

• Federally Qualified Health Center (FQHC) in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Federally Qualified Health Center (FQHC) in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.