Gore Medical Management

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

042539 Issued in GA

Legal business name

GORE MEDICAL MANAGEMENT

Doing business as

Family Medical Center

Practice address

1657 N Expressway
Griffin, GA 30223-1276

Phone

(770) 228-2641

Fax

(770) 467-9764

NPI assigned

Sep 14, 2006

Last updated

Oct 5, 2012By 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

Tanya Long

Title

Office Manager

Phone

(770) 228-2641

Specialties & licenses 1

Addresses

Other names 1

• Family Medical Center Doing business as

Locations

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.

• Charles Boling, PA

  • Physician Assistant
  • Macon, GA
  • NPI 1073589537
  NPD

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349395200000",
    "number": "1801991526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1657 N EXPRESSWAY",
            "city": "GRIFFIN",
            "state": "GA",
            "postal_code": "302231276",
            "telephone_number": "770-228-2641",
            "fax_number": "770-467-9764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1657 N EXPRESSWAY",
            "city": "GRIFFIN",
            "state": "GA",
            "postal_code": "302231276",
            "telephone_number": "770-228-2641",
            "fax_number": "770-467-9764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GORE MEDICAL MANAGEMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-14",
        "last_updated": "2012-10-05",
        "status": "A",
        "authorized_official_last_name": "LONG",
        "authorized_official_first_name": "TANYA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "770-228-2641"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "042539",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Teresa Ann Goldin, M.D.
• Earl S Golightly, MD
• Frank V Gordon Jr., PH.D.
• Melissa Gwyn Gordon, APRN
• Rachel Gordy
• Kristin M Gore, MD
• Roger Gould, MA
• Appaswamy M Gowda, MD
• Grace Medical Clinic
• Charles Frederick Graci Sr., CRNA

• Family Medicine Physician in Griffin, GA
• Providers in Griffin, GA by specialty
• Family Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2012; 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.