Organization Active NPI

Appling Family Total Healthcare, P.C.

  • Family Nurse Practitioner
  • Baxley, GA
National Provider Identifier
1922378702
Registry record updated Aug 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN147732NP Issued in GA
Legal business name
APPLING FAMILY TOTAL HEALTHCARE, P.C.
Practice address
950 S Main St
Suite 2
Baxley, GA 31513-0162
Phone
(912) 367-3585
Fax
(912) 705-1502
NPI assigned
Jan 10, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2020

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

Authorized official

Name
Greg Lee Williams, NP
Title
Owner
Phone
(912) 367-2596

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X RN147732NP GA Primary

Addresses

Primary practice location

950 S Main St
Suite 2
Baxley, GA 31513-0162

Mailing address

950 S Main St
Baxley, GA 31513-0162
Phone (912) 367-3585

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120215000514 GA Part B Supplier - Clinic/Group Practice 6406014885 Receives reassigned benefits from 1 practitioner
Practice locations: Baxley, GA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
11D2033904Appling Family Total Healthcare, PC950 South Main Street, Suite 2, Baxley, GA 31513Certificate of waiverDec 12, 2027

National Provider Directory

National Provider Directory

Locations

950 S Main St
Ste 2
Baxley, GA 31513
Phone (912) 367-2596

950 S Main St
Baxley, GA 31513

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1326153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598572800000",
    "number": "1922378702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 S MAIN ST",
            "city": "BAXLEY",
            "state": "GA",
            "postal_code": "315130162",
            "telephone_number": "912-367-3585",
            "fax_number": "912-705-1502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 S MAIN ST",
            "address_2": "SUITE 2",
            "city": "BAXLEY",
            "state": "GA",
            "postal_code": "315130162",
            "telephone_number": "912-367-3585",
            "fax_number": "912-705-1502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "APPLING FAMILY TOTAL HEALTHCARE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-10",
        "last_updated": "2020-08-28",
        "certification_date": "2020-08-28",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "GREG",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "912-367-2596",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN147732NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baxley, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.