NPIMap

Organization Active NPI

Medical Centre

  • Legal Medicine
  • Conyers, GA
National Provider Identifier
1932379666
Registry record updated Mar 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Legal MedicineTaxonomy code 173000000X
License
30996 Issued in GA
Legal business name
MEDICAL CENTRE
Practice address
1815 Highway 138 SE Ste 800
Conyers, GA 30013-2098
Phone
(770) 922-9222
Fax
(770) 922-8794
NPI assigned
Mar 10, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2008

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

Authorized official

Name
Stephen Frank Felton, M.D.
Title
Owner
Phone
(770) 922-9222

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Legal MedicineGroup: 193400000X SINGLE SPECIALTY GROUP 173000000X 30996 GA Primary

Addresses

Primary practice location

1815 Highway 138 SE Ste 800
Conyers, GA 30013-2098

Mailing address

1815 Highway 138 SE Ste 800
Conyers, GA 30013-2098
Phone (770) 922-9222

National Provider Directory

National Provider Directory
Tax ID family
Medical Centre2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1205107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205107200000",
    "number": "1932379666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1815 HIGHWAY 138 SE STE 800",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300132098",
            "telephone_number": "770-922-9222",
            "fax_number": "770-922-8794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1815 HIGHWAY 138 SE STE 800",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300132098",
            "telephone_number": "770-922-9222",
            "fax_number": "770-922-8794"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL CENTRE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-10",
        "last_updated": "2008-03-10",
        "status": "A",
        "authorized_official_last_name": "FELTON",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "FRANK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-922-9222",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Legal Medicine",
            "state": "GA",
            "license": "30996",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Conyers, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 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.