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WEST GEORGIA SPORTS MEDICINE
NPI 1235528811
Family Medicine in Carrollton, GA

Active since January 20, 2015
1601 MAPLE ST, CARROLLTON, GA 30118(678) 839-6628(972) 367-3451 Get Directions Write a Review

NPPES record last updated: January 20, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About West Georgia Sports Medicine NPPES

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

WEST GEORGIA SPORTS MEDICINE (NPI 1235528811) is a healthcare organization registered as a family medicine in Carrollton, Georgia and active in the NPI registry since January 2015. The organization lists Mouzon Bass, Agent, as its authorized official.

NPPES Registry Identity

NPI1235528811
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameUNIVERSITY OF WEST GEORGIA
Location Address1601 MAPLE STCarrollton, GA 30118-0001
Mailing Address5050 Spring Valley RdDallas, TX 75244-3995 · (800) 555-9073 · Fax (972) 367-3452
Phone(678) 839-6628
Fax(972) 367-3451
Organization SubpartNo
Authorized OfficialMouzon BassAgent · 18005559073
Enumeration DateJanuary 20, 2015
✔ NPI 1235528811 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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.
Also ListedFamily Medicine · Sports MedicineTaxonomy 207QS0010X
1601 MAPLE ST, Carrollton, GA 30118
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Other Names 1

Doing Business AsWest Georgia Sports Medicine

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 MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

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

COREY BRIAN HINDMAN M.ED., LPC
Counselor (Professional)
1601 MAPLE ST
CARROLLTON, GA 30118
Carroll County (678) 839-5338
MR. MICHAEL K DUNCAN REGISTERED PHARMACIS
Pharmacist (Pharmacotherapy)
1601 MAPLE ST, HEALTH SERVICES (PHARMACY)
CARROLLTON, GA 30118
Carroll County (678) 839-0647
PEARSON ALYSSA CASSANOVA
Counselor (School)
1601 MAPLE ST
CARROLLTON, GA 30118
Carroll County (678) 839-5000
KEDAJAH FORTE
Counselor (School)
1601 MAPLE ST
CARROLLTON, GA 30118
Carroll County (470) 222-9898
STEPHANIE ANNE HOLLDORF
Counselor (School)
1601 MAPLE ST
CARROLLTON, GA 30118
Carroll County (678) 673-9335
THOMAS GREGORY HEATH NP
Nurse Practitioner (Family)
1601 MAPLE ST
CARROLLTON, GA 30118
Carroll County (678) 839-6452
MRS. NICOLE CHRISTE'L FRAZER
Counselor (School)
1601 MAPLE ST
CARROLLTON, GA 30118
Carroll County (770) 557-9129
MARY KATE KUCHINSKI
Counselor (School)
1601 MAPLE ST
CARROLLTON, GA 30118
Carroll County (404) 434-6750

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 University Of West Georgia's NPI number?

The NPI number for University Of West Georgia is 1235528811. It was assigned to this organization in the NPPES registry on January 20, 2015. The provider is doing business as West Georgia Sports Medicine.

Where is University Of West Georgia located?

University Of West Georgia is located at 1601 Maple St, Carrollton, GA 30118. The listed phone number is (678) 839-6628.

What is University Of West Georgia's specialty?

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

When was this NPI record last updated?

The NPPES record for University Of West Georgia was last updated on January 20, 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.