NPIMap

Organization Active NPI

The Family Health Centers of Georgia, Inc

  • Federally Qualified Health Center (FQHC)
  • Atlanta, GA
National Provider Identifier
1790404457
Registry record updated Sep 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
THE FAMILY HEALTH CENTERS OF GEORGIA, INC
Practice address
550 Peachtree St NE Ste 1250
Atlanta, GA 30308-2239
Phone
(256) 387-7604
NPI assigned
Aug 25, 2022
Organization subpart
Yes
Parent organization
THE FAMILY HEALTH CENTERS OF GEORGIA, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 6, 2023

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

Authorized official

Name
Michael W Brooks
Title
Ceo
Phone
(678) 725-0142

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X Primary

Addresses

Primary practice location

550 Peachtree St NE Ste 1250
Atlanta, GA 30308-2239

Mailing address

868 York Ave SW
Atlanta, GA 30310-2750
Phone (404) 752-1400

Other names 1

  • Georgia Center for Women Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040413000807 GA Part B Supplier - Clinic/Group Practice 2062406903 Receives reassigned benefits from 38 practitioners
12 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Rome, GA; Morrow, GA; Atlanta, GA; Marietta, GA; Douglasville, GA
O20230612000298 GA Part A Provider - Federally Qualified Health Center (FQHC) 2062406903 Practice locations: Atlanta, GA

Federally qualified health center certification: CCN 851929

Legal name
THE FAMILY HEALTH CENTERS OF GEORGIA, INC
Doing business as
GEORGIA CENTER FOR WOMEN
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Sep 1, 2023
Last certification
Sep 1, 2023
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Sep 17, 1972 in GA
Enrollment address
550 Peachtree St NE
Ste 1250
Atlanta, GA 30308-2239

Other NPIs with the same Medicare PAC ID 4

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 8

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
West End Medical Centers the Family Health Center Bolton Village14 organizations share this tax ID, including this one
Part of
West End Medical Centers the Family Health Center Bolton Village

Other organizations with this tax ID 13

Organizations that report the same tax identification number in the National Provider Directory.

View all 13

Locations

550 Peachtree St NE
Ste 1250
Atlanta, GA 30308
Phone (256) 387-7604

Ownership & related parties

All disclosed owners & managing parties 1

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Michael W Brooks Individual Corporate Officer Jun 1, 2009
W-2 Managing Employee Jun 1, 2009

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

NPI Registry JSON

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

{
    "created_epoch": "1661385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693958400000",
    "number": "1790404457",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 PEACHTREE ST NE STE 1250",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303082239",
            "telephone_number": "256-387-7604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE FAMILY HEALTH CENTERS OF GEORGIA, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THE FAMILY HEALTH CENTERS OF GEORGIA, INC",
        "enumeration_date": "2022-08-25",
        "last_updated": "2023-09-06",
        "certification_date": "2022-08-25",
        "status": "A",
        "authorized_official_last_name": "BROOKS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "678-725-0142"
    },
    "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": "Georgia Center for Women",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.