NPIMap

Organization Active NPI

US Medical Corporation LLC

  • Internal Medicine Physician
  • Commerce, GA
National Provider Identifier
1952591646
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
047505 Issued in GA
Legal business name
US MEDICAL CORPORATION LLC
Practice address
613 Hospital Rd
Commerce, GA 30529-1143
Phone
(706) 335-9411
Fax
(706) 335-1911
NPI assigned
Jul 28, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Authorized official

Name
Dr. Fareha Rahim, M.D.
Title
President
Phone
(706) 335-9411

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 047505 GA Primary

Addresses

Primary practice location

613 Hospital Rd
Commerce, GA 30529-1143

Mailing address

613 Hospital Rd
Commerce, GA 30529-1143
Phone (706) 335-9411

Other identifiers 3

IdentifierTypeStateIssuer
H33784OtherGABLUE CROSS OF GA
000897685AMedicaidGA
047505OtherGALICENSE NUMBER

Other names 1

  • COMMERCE MEDICAL CENTER Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1185580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1952591646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "613 HOSPITAL RD",
            "city": "COMMERCE",
            "state": "GA",
            "postal_code": "305291143",
            "telephone_number": "706-335-9411",
            "fax_number": "706-335-1911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "613 HOSPITAL RD",
            "city": "COMMERCE",
            "state": "GA",
            "postal_code": "305291143",
            "telephone_number": "706-335-9411",
            "fax_number": "706-335-1911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "US MEDICAL CORPORATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-28",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "RAHIM",
        "authorized_official_first_name": "FAREHA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "706-335-9411",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "047505",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OF GA",
            "identifier": "H33784",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000897685A",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "047505",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "COMMERCE MEDICAL CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Commerce, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.