Organization Active NPI

Westside Family Medicine

  • Primary Care Clinic/Center
  • Cartersville, GA
National Provider Identifier
1861413767
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
WESTSIDE FAMILY MEDICINE
Practice address
775 West Ave
Suite a
Cartersville, GA 30120-3481
Phone
(770) 387-1724
Fax
(770) 387-1458
NPI assigned
Jul 23, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Mrs. Lori W. Millsap, APRNNPI 1548297146
Title
President
Phone
(770) 387-1724

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X GA Primary

Addresses

Primary practice location

775 West Ave
Suite a
Cartersville, GA 30120-3481

Mailing address

775 West Ave
Suite a
Cartersville, GA 30120-3481
Phone (770) 387-1724

National Provider Directory

National Provider Directory

Locations

775 West Ave
Ste A
Cartersville, GA 30120
Phone (470) 315-4689

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1153612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1861413767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "775 WEST AVE",
            "address_2": "SUITE A",
            "city": "CARTERSVILLE",
            "state": "GA",
            "postal_code": "301203481",
            "telephone_number": "770-387-1724",
            "fax_number": "770-387-1458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "775 WEST AVE",
            "address_2": "SUITE A",
            "city": "CARTERSVILLE",
            "state": "GA",
            "postal_code": "301203481",
            "telephone_number": "770-387-1724",
            "fax_number": "770-387-1458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTSIDE FAMILY MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-23",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "MILLSAP",
        "authorized_official_first_name": "LORI",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "770-387-1724",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cartersville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.