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UPSON FAMILY MEDICAL CENTER ,LLC
NPI 1124528344
Family Medicine in Thomaston, GA

Active since February 14, 2018CLIA Certified · 2 labs
1512 HIGHWAY 19 N, THOMASTON, GA 30286(706) 647-2641 Get Directions Write a Review

NPPES record last updated: February 2, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 2, 2026, Jul 17, 2020, Feb 14, 2018 (3 updates tracked since 2018).

About Upson Family Medical Center ,llc NPPES

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

UPSON FAMILY MEDICAL CENTER ,LLC (NPI 1124528344) is a healthcare organization registered as a family medicine in Thomaston, Georgia and active in the NPI registry since February 2018. The organization holds 2 active CLIA laboratory certificates and lists Daniel Owens, Ceo, as its authorized official.

NPPES Registry Identity

NPI1124528344
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameUPSON FAMILY MEDICAL CENTER ,LLC
Location Address1512 HIGHWAY 19 NThomaston, GA 30286-2258
Mailing Address801 W Gordon StThomaston, GA 30286-3426 · (706) 647-8111 · Fax (706) 647-4389
Phone(706) 647-2641
Organization SubpartNo
Authorized OfficialDaniel OwensCeo · (706) 647-8111
Enumeration DateFebruary 14, 2018
Last NPPES UpdateFebruary 2, 20263 updates tracked since enumeration
NPPES CertifiedFebruary 2, 2026
✔ NPI 1124528344 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.
1512 HIGHWAY 19 N, Thomaston, GA 30286
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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

CLIA Laboratory Certificates CMS CLIA 2

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 Compliance 11D1058713

Upson Family Medical Center, LLC · Thomaston, GA
Active · expires Feb 18, 2027
CLIA Number11D1058713
Laboratory TypePhysician Office
Certificate Effective DateFebruary 19, 2025
Certificate Expiration DateFebruary 18, 2027
Laboratory DirectorGeorge L. Capo
Laboratory Phone(706) 647-2641
Laboratory LocationUpson Family Medical Center, LLC1512 Highway 19 North, Thomaston, GA 30286
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Certificate of Waiver 11D2144704

Upson Family Medical Center Southside · Thomaston, GA
Active · expires Feb 21, 2028
CLIA Number11D2144704
Laboratory TypeRural Health Clinic
Certificate Effective DateFebruary 22, 2026
Certificate Expiration DateFebruary 21, 2028
Laboratory DirectorMarian F. Pennington
Laboratory Phone(706) 647-8111
Laboratory LocationUpson Family Medical Center Southside206 Cherokee Road, Thomaston, GA 30286
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

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

MARY SUZANNE GAMEL FNP
Nurse Practitioner (Family)
1512 HIGHWAY 19 N
THOMASTON, GA 30286
Upson County (706) 647-2641
MR. GEORGE L CAPO DO
Family Medicine
1512 HIGHWAY 19 N
THOMASTON, GA 30286
Upson County (706) 647-2641
LISA HAMMOCK NP
Nurse Practitioner (Family)
1512 HIGHWAY 19 N
THOMASTON, GA 30286
Upson County (706) 647-2641
KRISTEN MICHELLE BRADFORD FNP
Nurse Practitioner (Family)
1512 HIGHWAY 19 N
THOMASTON, GA 30286
Upson County (706) 647-2641

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 Upson Family Medical Center ,llc's NPI number?

The NPI number for Upson Family Medical Center ,llc is 1124528344. It was assigned to this organization in the NPPES registry on February 14, 2018.

Where is Upson Family Medical Center ,llc located?

Upson Family Medical Center ,llc is located at 1512 Highway 19 N, Thomaston, GA 30286. The listed phone number is (706) 647-2641.

What is Upson Family Medical Center ,llc's specialty?

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

Does Upson Family Medical Center ,llc hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Upson Family Medical Center ,llc was last updated on February 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.