Active NPI
Solar Family Practice
- Family Medicine Physician
- Brunswick, GA
National Provider Identifier
1811269632
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- RN120593
- Legal business name
- SOLAR FAMILY PRACTICE
- Practice address
- 122 Scranton Connector
Suite 112
Brunswick, GA 31525 - Phone
- (912) 265-5994
- NPI assigned
- Feb 9, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Charles H Evans, NONE
- Title
- Office Manager
- Phone
- (912) 265-5994
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | RN120593 | GA | Primary |
Addresses
Primary practice location
122 Scranton Connector
Suite 112
Brunswick, GA 31525
Mailing address
122 Scranton Connector
Suite 112
Brunswick, GA 31525
Phone (912) 265-5994
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1328745600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1328745600000",
"number": "1811269632",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "122 SCRANTON CONNECTOR",
"address_2": "SUITE 112",
"city": "BRUNSWICK",
"state": "GA",
"postal_code": "31525",
"telephone_number": "912-265-5994"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "122 SCRANTON CONNECTOR",
"address_2": "SUITE 112",
"city": "BRUNSWICK",
"state": "GA",
"postal_code": "31525",
"telephone_number": "912-265-5994"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOLAR FAMILY PRACTICE",
"organizational_subpart": "NO",
"enumeration_date": "2012-02-09",
"last_updated": "2012-02-09",
"status": "A",
"authorized_official_last_name": "EVANS",
"authorized_official_first_name": "CHARLES",
"authorized_official_middle_name": "H",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "912-265-5994",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "NONE"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "GA",
"license": "RN120593",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brunswick, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 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.