Active NPI
Family Healthcare of West Ga.
- Primary Care Clinic/Center
- Carrollton, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- License
- RN123329
- Legal business name
- FAMILY HEALTHCARE OF WEST GA.
- Practice address
- 536 Newnan St
Carrollton, GA 30117-3344 - Phone
- (770) 214-8411
- Fax
- (770) 214-8448
- NPI assigned
- Aug 14, 2007
- Last updated
- Aug 20, 2007
- 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
- Jean Renee Rooks
- Title
- Aprn
- Phone
- (770) 214-8411
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | RN123329 | GA | Primary |
Addresses
Primary practice location
536 Newnan St
Carrollton, GA 30117-3344
Mailing address
536 Newnan St
Carrollton, GA 30117-3344
Phone (770) 214-8411
National Provider Directory
National Provider DirectoryLocations
536 Newnan St
Carrollton, GA 30117
Phone (770) 214-8411
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.
-
- Family Nurse Practitioner
- Carrollton, GA
- NPI 1649372152
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1187049600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1187568000000",
"number": "1922290865",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "536 NEWNAN ST",
"city": "CARROLLTON",
"state": "GA",
"postal_code": "301173344",
"telephone_number": "770-214-8411",
"fax_number": "770-214-8448"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "536 NEWNAN ST",
"city": "CARROLLTON",
"state": "GA",
"postal_code": "301173344",
"telephone_number": "770-214-8411",
"fax_number": "770-214-8448"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FAMILY HEALTHCARE OF WEST GA.",
"organizational_subpart": "NO",
"enumeration_date": "2007-08-14",
"last_updated": "2007-08-20",
"status": "A",
"authorized_official_last_name": "ROOKS",
"authorized_official_first_name": "JEAN",
"authorized_official_middle_name": "RENEE",
"authorized_official_title_or_position": "APRN",
"authorized_official_telephone_number": "770-214-8411"
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": "GA",
"license": "RN123329",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Carrollton, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 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.