NPIMap

Organization Active NPI

Calhoun Medical Group LLC

  • Family Medicine Physician
  • Calhoun, GA
National Provider Identifier
1972881423
Registry record updated Oct 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
CALHOUN MEDICAL GROUP LLC
Practice address
400 Timms Rd NE
Calhoun, GA 30701-7016
Phone
(706) 625-0022
Fax
(706) 625-3988
NPI assigned
Aug 2, 2011
Last updated
Oct 18, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2012

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

Authorized official

Name
Harvey P Leblanc Jr., MDNPI 1285604801
Title
Managing Member
Phone
(706) 625-0333

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary
Internal Medicine Physician 207R00000X NU

Addresses

Primary practice location

400 Timms Rd NE
Calhoun, GA 30701-7016

Mailing address

400 Timms Rd NE
Calhoun, GA 30701-7016
Phone (706) 625-0022

National Provider Directory

National Provider Directory

Locations

6000 Joe Frank Harris Pkwy NW
Ste D
Adairsville, GA 30103
Phone (770) 773-9201

Practitioners & affiliated clinicians

Practitioners 8

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": "1312243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350518400000",
    "number": "1972881423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 TIMMS RD NE",
            "city": "CALHOUN",
            "state": "GA",
            "postal_code": "307017016",
            "telephone_number": "706-625-0022",
            "fax_number": "706-625-3988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 TIMMS RD NE",
            "city": "CALHOUN",
            "state": "GA",
            "postal_code": "307017016",
            "telephone_number": "706-625-0022",
            "fax_number": "706-625-3988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALHOUN MEDICAL GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-02",
        "last_updated": "2012-10-18",
        "status": "A",
        "authorized_official_last_name": "LEBLANC",
        "authorized_official_first_name": "HARVEY",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "706-625-0333",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Calhoun, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2012; 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.