Organization Active NPI

Jwgllc

Doing business as Carriage Point Family Medicine

  • Primary Care Clinic/Center
  • Calera, OK
National Provider Identifier
1972231041
Registry record updated Aug 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
JWGLLC
Doing business as
Carriage Point Family Medicine
Practice address
712 North McKinley Ave
Calera, OK 74730
Phone
(580) 434-6512
Fax
(580) 434-6513
NPI assigned
Aug 8, 2022
Last updated
Aug 8, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2022

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

Authorized official

Name
Mrs. Emily Ruth Love, APRNNPI 1760721294
Title
Nurse Practitioner/Owner
Phone
(580) 980-0945

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X NU Primary
Rural Health Clinic/Center 261QR1300X NU

Addresses

Primary practice location

712 North McKinley Ave
Calera, OK 74730

Mailing address

3915 Smiser Rd
Calera, OK 74730-3854
Phone (580) 980-0945

Other names 1

  • Carriage Point Family Medicine Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20221019001533 OK Part B Supplier - Clinic/Group Practice 5991171779 Receives reassigned benefits from 1 practitioner
Practice locations: Calera, OK

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
37D2270318Carriage Point Family Medicine712 N McKinley Ave, Calera, OK 74730Certificate of waiverOct 12, 2026

National Provider Directory

National Provider Directory

Locations

712 N McKinley Ave
Calera, OK 74730
Phone (580) 434-6512

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": "1659916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659916800000",
    "number": "1972231041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3915 SMISER RD",
            "city": "CALERA",
            "state": "OK",
            "postal_code": "747303854",
            "telephone_number": "580-980-0945",
            "fax_number": "580-434-6513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "712 NORTH MCKINLEY AVE",
            "city": "CALERA",
            "state": "OK",
            "postal_code": "74730",
            "telephone_number": "580-434-6512",
            "fax_number": "580-434-6513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JWGLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-08",
        "last_updated": "2022-08-08",
        "certification_date": "2022-08-01",
        "status": "A",
        "authorized_official_last_name": "LOVE",
        "authorized_official_first_name": "EMILY",
        "authorized_official_middle_name": "RUTH",
        "authorized_official_title_or_position": "NURSE PRACTITIONER/OWNER",
        "authorized_official_telephone_number": "580-980-0945",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Carriage Point Family Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Calera, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2022; 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.