Organization Active NPI

Marion Family Practice

  • Family Nurse Practitioner
  • Buena Vista, GA
National Provider Identifier
1871830653
Registry record updated Jan 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN041402 Issued in GA
Legal business name
MARION FAMILY PRACTICE
Practice address
131 E 6TH Ave
Buena Vista, GA 31803-9714
Phone
(229) 277-9912
NPI assigned
Jan 14, 2013
Last updated
Jan 14, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2013

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

Authorized official

Name
Mrs. Tammie McClellan
Title
Office Manager
Phone
(706) 577-5295

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X RN041402 GA Primary

Addresses

Primary practice location

131 E 6TH Ave
Buena Vista, GA 31803-9714

Mailing address

131 E 6TH Ave
Buena Vista, GA 31803-9714
Phone (229) 277-9912

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1358121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358121600000",
    "number": "1871830653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 E 6TH AVE",
            "city": "BUENA VISTA",
            "state": "GA",
            "postal_code": "318039714",
            "telephone_number": "229-277-9912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 E 6TH AVE",
            "city": "BUENA VISTA",
            "state": "GA",
            "postal_code": "318039714",
            "telephone_number": "229-277-9912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARION FAMILY PRACTICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-14",
        "last_updated": "2013-01-14",
        "status": "A",
        "authorized_official_last_name": "MCCLELLAN",
        "authorized_official_first_name": "TAMMIE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "706-577-5295",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN041402",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buena Vista, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2013; 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.