Cairo Family Medical Center, PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

040814 Issued in GA

Legal business name

CAIRO FAMILY MEDICAL CENTER, PC

Practice address

91 MLK Jr Ave S.W.
Cairo, GA 39828

Phone

(229) 377-0908

Fax

(229) 377-1001

NPI assigned

Jan 19, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Linda Inez Walden, M.D.

Title

President & Ceo

Phone

(229) 377-0908

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219104000000",
    "number": "1932252004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 541",
            "city": "CAIRO",
            "state": "GA",
            "postal_code": "39828",
            "telephone_number": "229-377-0908",
            "fax_number": "229-377-1001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "91 MLK JR AVE S.W.",
            "city": "CAIRO",
            "state": "GA",
            "postal_code": "39828",
            "telephone_number": "229-377-0908",
            "fax_number": "229-377-1001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAIRO FAMILY MEDICAL CENTER, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-19",
        "last_updated": "2008-08-19",
        "status": "A",
        "authorized_official_last_name": "WALDEN",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "INEZ",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "229-377-0908",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "040814",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000673824B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• All providers in Cairo, GA
• Family Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2008; 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.