NPIMap

Organization Active NPI

Afc Physicians of Georgia, PC

  • General Practice Physician
  • Columbus, GA
National Provider Identifier
1982025318
Registry record updated Jan 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
AFC PHYSICIANS OF GEORGIA, PC
Practice address
6509 Gateway Rd
Columbus, GA 31909-5681
Phone
(706) 243-0174
Fax
(706) 243-0178
NPI assigned
Jan 3, 2014
Last updated
Jan 3, 2014By the provider in NPPES
Organization subpart
Yes
Parent organization
AMERICAN FAMILY CARE, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 3, 2014

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

Authorized official

Name
Randy Johansen
Title
President
Phone
(205) 403-8902

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X GA Primary

Addresses

Primary practice location

6509 Gateway Rd
Columbus, GA 31909-5681

Mailing address

2147 Riverchase Office Rd
Birmingham, AL 35244-1836
Phone (205) 403-8902

Other identifiers 1

IdentifierTypeStateIssuer
202G708342OtherGAMCR PTAN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20121226000357 GA Part B Supplier - Clinic/Group Practice 0345493375 Receives reassigned benefits from 22 practitioners
5 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Chamblee, GA; Kennesaw, GA; Marietta, GA; Woodstock, GA

Other NPIs on the same Medicare enrollment 4

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Part of
American Famcare Medical

Locations

4069 Cherokee St NW
Ste A
Kennesaw, GA 30144
Phone (470) 762-2060

Practitioners & affiliated clinicians

Practitioners 30

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.

View all 30

NPI Registry JSON

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

{
    "created_epoch": "1388707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1388707200000",
    "number": "1982025318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2147 RIVERCHASE OFFICE RD",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352441836",
            "telephone_number": "205-403-8902",
            "fax_number": "205-421-2109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6509 GATEWAY RD",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319095681",
            "telephone_number": "706-243-0174",
            "fax_number": "706-243-0178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AFC PHYSICIANS OF GEORGIA, PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AMERICAN FAMILY CARE, INC",
        "enumeration_date": "2014-01-03",
        "last_updated": "2014-01-03",
        "status": "A",
        "authorized_official_last_name": "JOHANSEN",
        "authorized_official_first_name": "RANDY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "205-403-8902"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCR PTAN",
            "identifier": "202G708342",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.