NPIMap

Organization Active NPI

G.a. Carmichael Family Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Greenwood, MS
National Provider Identifier
1982304234
Registry record updated Mar 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
G.A. CARMICHAEL FAMILY HEALTH CENTER, INC.
Practice address
309 W Church St Unit B
Greenwood, MS 38930-4305
Phone
(662) 219-2903
NPI assigned
Mar 6, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2023

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

Authorized official

Name
Joseph Davis
Title
Coo
Phone
(601) 859-5213

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X Primary

Addresses

Primary practice location

309 W Church St Unit B
Greenwood, MS 38930-4305

Mailing address

1668 W Peace St
Canton, MS 39046-5332
Phone (601) 859-5213

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address billinggac@gacfhc.org Direct

National Provider Directory

National Provider Directory
Tax ID family
Ga Carmichael Fam HLTH Ctr25 organizations share this tax ID, including this one

Other organizations with this tax ID 24

Organizations that report the same tax identification number in the National Provider Directory.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1678060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678060800000",
    "number": "1982304234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1668 W PEACE ST",
            "city": "CANTON",
            "state": "MS",
            "postal_code": "390465332",
            "telephone_number": "601-859-5213",
            "fax_number": "601-859-8771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 W CHURCH ST UNIT B",
            "city": "GREENWOOD",
            "state": "MS",
            "postal_code": "389304305",
            "telephone_number": "662-219-2903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "G.A. CARMICHAEL FAMILY HEALTH CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-06",
        "last_updated": "2023-03-06",
        "certification_date": "2023-03-06",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "601-859-5213"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "billinggac@gacfhc.org",
            "affiliation": "N",
            "endpointDescription": "Billing email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "309 W Church St Unit B",
            "city": "Greenwood",
            "state": "MS",
            "country_code": "US",
            "postal_code": "389304305",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Greenwood, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 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.