First Look Primary Care, P.C.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

050124 Issued in GA

Legal business name

FIRST LOOK PRIMARY CARE, P.C.

Practice address

2766 Atlanta Hwy
Gainesville, GA 30504-8263

Phone

(770) 287-8953

Fax

(770) 287-8954

NPI assigned

Apr 2, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Janis N Anthony-Wade, D.O.

Title

President

Phone

(770) 287-8953

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1207094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480377600000",
    "number": "1912179649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6170",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "30504",
            "telephone_number": "770-287-8953",
            "fax_number": "770-287-8954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2766 ATLANTA HWY",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305048263",
            "telephone_number": "770-287-8953",
            "fax_number": "770-287-8954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRST LOOK PRIMARY CARE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-02",
        "last_updated": "2016-11-29",
        "status": "A",
        "authorized_official_last_name": "ANTHONY-WADE",
        "authorized_official_first_name": "JANIS",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "770-287-8953",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "050124",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2016; 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.