Active NPI
Nova Family Care
- Family Medicine Physician
- Sylvester, GA
National Provider Identifier
1871508606
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- BC4653247
- Legal business name
- NOVA FAMILY CARE
- Practice address
- 807 S Isabella St
Suite C
Sylvester, GA 31791-7554 - Phone
- (229) 776-9143
- NPI assigned
- Jul 30, 2006
- 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. Martha Louise Cooper, M.D.
- Title
- Owner
- Phone
- (229) 776-9143
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | BC4653247 | GA | Primary |
Addresses
Primary practice location
807 S Isabella St
Suite C
Sylvester, GA 31791-7554
Mailing address
PO Box 465
Sylvester, GA 31791-0465
Phone (229) 776-9143
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DD6608 | Other | GA | RAILROAD MEDICARE |
| 000689279E | Medicaid | GA |
National Provider Directory
National Provider DirectoryLocations
807 S Isabella St
Ste C
Sylvester, GA 31791
Phone (229) 776-9143
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": "1154217600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1208476800000",
"number": "1871508606",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 465",
"city": "SYLVESTER",
"state": "GA",
"postal_code": "317910465",
"telephone_number": "229-776-9143"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "807 S ISABELLA ST",
"address_2": "SUITE C",
"city": "SYLVESTER",
"state": "GA",
"postal_code": "317917554",
"telephone_number": "229-776-9143"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NOVA FAMILY CARE",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-30",
"last_updated": "2008-04-18",
"status": "A",
"authorized_official_last_name": "COOPER",
"authorized_official_first_name": "MARTHA",
"authorized_official_middle_name": "LOUISE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "229-776-9143",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "GA",
"license": "BC4653247",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "DD6608",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000689279E",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Sylvester, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.