Community Family Practice and Urgent Care P C

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

19124296 Issued in GA

Legal business name

COMMUNITY FAMILY PRACTICE AND URGENT CARE P C

Practice address

277 E Crogan St
Lawrenceville, GA 30046-5054

Phone

(770) 822-4411

NPI assigned

Apr 12, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Alexander E Osowa, M.DNPI 1316910755

Title

Physician

Phone

(770) 822-4411

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Alexander E Osowa, MD

  • Family Medicine Physician
  • Jackson, MS
  • NPI 1316910755
  NPD Authorized official
• Rasheeda Japaka Freeman, FNP-C

  • Family Nurse Practitioner
  • Commerce, GA
  • NPI 1588950851
  NPD

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

{
    "created_epoch": "1271030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1446681600000",
    "number": "1992021232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "277 E CROGAN ST",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300465054",
            "telephone_number": "770-822-4411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "277 E CROGAN ST",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300465054",
            "telephone_number": "770-822-4411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY FAMILY PRACTICE AND URGENT CARE P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-12",
        "last_updated": "2015-11-05",
        "status": "A",
        "authorized_official_last_name": "OSOWA",
        "authorized_official_first_name": "ALEXANDER",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "770-822-4411",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "19124296",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "558495951A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Daniel Colon-Conde, MD
• Manuel Angel Colon-Dejesus, M.D.
• Amy Colson, CNM
• Janae Ayodele Combs
• Community Care Counseling, LLC
• Complete Physical Therapy & Diagnostic Center, LLC
• Comprehensive Primary Care, LLC
• Madison Saren Compton, OTR/L
• Concentra Health Services, Inc.
• Concentra Health Services, Inc.

• Family Medicine Physician in Lawrenceville, GA
• Providers in Lawrenceville, GA by specialty
• Family Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2015; 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.