Organization Active NPI

Family Healthcare of West Ga.

  • Primary Care Clinic/Center
  • Carrollton, GA
National Provider Identifier
1922290865
Registry record updated Aug 20, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
RN123329 Issued in GA
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, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2007

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

Authorized official

Name
Jean Renee RooksNPI 1649372152
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)CodeLicenseStatePrimary
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 Directory

Locations

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.

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.

Verify at the official NPI Registry.