Clear Choice Family Medicine, Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

CLEAR CHOICE FAMILY MEDICINE, INC

Practice address

555 Old Norcross Rd
Suite 100
Lawrenceville, GA 30046-8716

Phone

(770) 686-8857

Fax

(404) 341-9941

NPI assigned

Mar 24, 2015

Organization subpart

No

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

Authorized official

Name

Mrs. Pharonda Lee

Title

Insurance Manager

Phone

(770) 686-8857

Specialties & licenses 3

Addresses

Tax ID family

Clear Choice Family Medicine Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Clear Choice Family Medicine, Inc

  • Family Medicine Physician
  • Columbus, GA
  • NPI 1538553094
  NPD tax ID

Locations

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

{
    "created_epoch": "1427155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427414400000",
    "number": "1831583277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 OLD NORCROSS RD",
            "address_2": "SUITE 100",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300468716",
            "telephone_number": "770-686-8857",
            "fax_number": "404-341-9941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 OLD NORCROSS RD",
            "address_2": "SUITE 100",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300468716",
            "telephone_number": "770-686-8857",
            "fax_number": "404-341-9941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEAR CHOICE FAMILY MEDICINE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-24",
        "last_updated": "2015-03-27",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "PHARONDA",
        "authorized_official_title_or_position": "INSURANCE MANAGER",
        "authorized_official_telephone_number": "770-686-8857",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Classic Non Emergency Transportation
• Ivan Claudio-Gonzalez
• David Lewis Clay, PT, DPT, COMT
• Engle Clay, ALMFT
• Marlena Clayton
• Clearmind Psychiatry LLC
• Ansley Kristen Clements
• Edward Claude Clermont, MD
• Jocelyn Ariana Clethen
• Julie G Cleveland, P.T.

• Internal Medicine Physician in Lawrenceville, GA
• Providers in Lawrenceville, GA by specialty
• Internal Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2015; 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.