Active NPI
Family Health Medicine
- Family Medicine Physician
- Douglasville, GA
National Provider Identifier
1861192569
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- FAMILY HEALTH MEDICINE
- Practice address
- 8697 Hospital Dr Ste 201
Douglasville, GA 30134-2225 - Phone
- (678) 999-7784
- NPI assigned
- Mar 9, 2023
- 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
- Dr. Willie Powell, MD
- Title
- Owner
- Phone
- (678) 999-7784
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
8697 Hospital Dr Ste 201
Douglasville, GA 30134-2225
Mailing address
8697 Hospital Dr Ste 201
Douglasville, GA 30134-2225
National Provider Directory
National Provider DirectoryLocations
8697 Hospital Dr
Ste 201
Douglasville, GA 30134
Phone (678) 384-2642
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1678320000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1678320000000",
"number": "1861192569",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8697 HOSPITAL DR STE 201",
"city": "DOUGLASVILLE",
"state": "GA",
"postal_code": "301342225"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8697 HOSPITAL DR STE 201",
"city": "DOUGLASVILLE",
"state": "GA",
"postal_code": "301342225",
"telephone_number": "678-999-7784"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FAMILY HEALTH MEDICINE",
"organizational_subpart": "NO",
"enumeration_date": "2023-03-09",
"last_updated": "2023-03-09",
"certification_date": "2023-03-09",
"status": "A",
"authorized_official_last_name": "POWELL",
"authorized_official_first_name": "WILLIE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "678-999-7784",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Douglasville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.