The Medical Clinics of Georgia, LLC

Primary specialty

Rural Health Clinic/CenterTaxonomy code 261QR1300X

License

GA040605 Issued in GA

Legal business name

THE MEDICAL CLINICS OF GEORGIA, LLC

Practice address

425 W.College Street
Bowdon, GA 30108-1311

Phone

(770) 258-1002

Fax

(770) 258-1003

NPI assigned

May 3, 2007

Last updated

Oct 9, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. James Keith Bailey, M.D.

Title

Ceo

Phone

(770) 258-1002

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191888000000",
    "number": "1902028327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 W.COLLEGE STREET",
            "city": "BOWDON",
            "state": "GA",
            "postal_code": "301081311",
            "telephone_number": "770-258-1002",
            "fax_number": "770-258-1003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 W.COLLEGE STREET",
            "city": "BOWDON",
            "state": "GA",
            "postal_code": "301081311",
            "telephone_number": "770-258-1002",
            "fax_number": "770-258-1003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE MEDICAL CLINICS OF GEORGIA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2007-10-09",
        "status": "A",
        "authorized_official_last_name": "BAILEY",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "KEITH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "770-258-1002",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "GA",
            "license": "GA040605",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Chris Salter, CNP
• Sims Pharmacy Inc (Bowdon Valu-Rite Pharmacy)
• Sims Pharmacy Inc (Southeastern Long Term Care Pharmacy)
• Southeast Senior Care Mangment Group (memory lane)
• Anna Beam Strain, NP-C
• TMC West Carroll Family Healthcare Center Inc (West Carroll Family Healthcare)
• Walgreen Co (Walgreens #19230)
• Michael Craig Widener, D.M.D.

• Rural Health Clinic/Center in Bowdon, GA
• Providers in Bowdon, GA by specialty
• Rural Health Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2007; 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.