MID GEORGIA TOTAL CARE LLC
NPI 1003200015
Family Medicine in Eastman, GA

Active since March 27, 2015CLIA 11D2099846 · Waiver
1111 GRIFFIN AVE, STE 1B, EASTMAN, GA 31023(478) 374-8998(478) 374-8525 Get Directions Write a Review

NPPES record last updated: March 30, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mid Georgia Total Care Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MID GEORGIA TOTAL CARE LLC (NPI 1003200015) is a healthcare organization registered as a family medicine in Eastman, Georgia and active in the NPI registry since March 2015. The organization holds a CLIA Waiver certificate valid through August 3, 2027 and lists Kevin Bierschenk, Ceo, as its authorized official.

NPPES Registry Identity

NPI1003200015
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameMID GEORGIA TOTAL CARE LLC
Location Address1111 GRIFFIN AVE, STE 1BEastman, GA 31023-9104
Mailing Address1111 Griffin Ave, Ste 1bEastman, GA 31023-9104 · (478) 374-8998 · Fax (478) 374-8525
Fax(478) 374-8525
Organization SubpartNo
Authorized OfficialKevin BierschenkCeo · (478) 344-2550
Enumeration DateMarch 27, 2015
Last NPPES UpdateMarch 30, 2015
NPI 1003200015 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1111 GRIFFIN AVE, Eastman, GA 31023

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 11D2099846

Mid-Georgia Total Care · Eastman, GA
Active · expires Aug 3, 2027
CLIA Number11D2099846
Laboratory TypePhysician Office
Certificate Effective DateAugust 4, 2025
Certificate Expiration DateAugust 3, 2027
Laboratory DirectorBlake Milner
Laboratory Phone(478) 374-8998
Laboratory LocationMid-Georgia Total Care1111 Griffin Ave, Suite 1B, Eastman, GA 31023
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Surgery
1111 GRIFFIN AVE, SUITE 1A
EASTMAN, GA 31023
Family Medicine
1111 GRIFFIN AVE, STE. 1B
EASTMAN, GA 31023
Urology
1111 GRIFFIN AVE, SUITE 1A
EASTMAN, GA 31023
Family Medicine
1111 GRIFFIN AVE
EASTMAN, GA 31023
Urology
1111 GRIFFIN AVE, SUITE 1A
EASTMAN, GA 31023
Physician Assistant (Medical)
1111 GRIFFIN AVE
EASTMAN, GA 31023

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mid Georgia Total Care LLC's NPI number?

The NPI number for Mid Georgia Total Care LLC is 1003200015. It was assigned to this organization in the NPPES registry on March 27, 2015.

Where is Mid Georgia Total Care LLC located?

Mid Georgia Total Care LLC is located at 1111 Griffin Ave Ste 1B, Eastman, GA 31023. The listed phone number is (478) 374-8998.

What is Mid Georgia Total Care LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Mid Georgia Total Care LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2099846) is associated with this NPI, valid through August 3, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Mid Georgia Total Care LLC accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Mid Georgia Total Care LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mid Georgia Total Care LLC was last updated on March 30, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.