Fannin Physician Services LLC

Primary specialty

Hospitalist PhysicianTaxonomy code 208M00000X

Legal business name

FANNIN PHYSICIAN SERVICES LLC

Practice address

2855 Old Highway 5
Blue Ridge, GA 30513-6248

Phone

(800) 893-9698

NPI assigned

Feb 6, 2015

Last updated

Jul 11, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Lisha C Falk

Title

VP of Contracting

Phone

(800) 893-9698

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1423180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1499731200000",
    "number": "1972994499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 CORPORATE BLVD",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705083870",
            "telephone_number": "800-893-9698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2855 OLD HIGHWAY 5",
            "city": "BLUE RIDGE",
            "state": "GA",
            "postal_code": "305136248",
            "telephone_number": "800-893-9698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FANNIN PHYSICIAN SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-06",
        "last_updated": "2017-07-11",
        "status": "A",
        "authorized_official_last_name": "FALK",
        "authorized_official_first_name": "LISHA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "VP OF CONTRACTING",
        "authorized_official_telephone_number": "800-893-9698"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Hospitalist",
            "state": "GA",
            "license": null,
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fannin County Board of Commissioners (Fannin County Fire/EMS)
• Fannin County Health Department
• Fannin Drugs, Inc
• Fannin Ed Physicians LLC
• Fannin Emergency Group LLC
• Fannin Regional Hospital Inc
• Fannin Regional Orthopaedic Center Inc (Fannin Anesthesia)
• Kristen Farist, PT, DPT
• Herbert Eugene Flynn, MD
• Fort Oglethorpe Emergency Physicians Group LLC

• Hospitalist Physician in Blue Ridge, GA
• Providers in Blue Ridge, GA by specialty
• Hospitalist Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2017; 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.