COMMUNITY PRIMARY CARE OF GEORGIA LLC - NPI 1336492511

Q: What is Community Primary Care Of Georgia LLC's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Geriatric Medicine, with taxonomy code 207QG0300X.

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About Community Primary Care Of Georgia Llc NPPES

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

COMMUNITY PRIMARY CARE OF GEORGIA LLC (NPI 1336492511) is a healthcare organization registered as a geriatric medicine in Gray, Georgia and active in the NPI registry since October 2012. The organization maintains a secondary practice location in Acworth and lists Elize Joseph, Director Of Practice Management, as its authorized official.

NPPES Registry Identity

NPI1336492511

Entity TypeOrganization

Primary Taxonomy207QG0300X

Legal Business NameCOMMUNITY PRIMARY CARE OF GEORGIA LLC

Location Address1005 BOULDER DRGray, GA 31032-6141

Mailing Address1005 Boulder DrGray, GA 31032-6141 · (478) 621-2100

Phone(478) 621-2100

Fax(478) 744-0481

Organization SubpartNo

Authorized OfficialElize JosephDirector Of Practice Management · (478) 621-2100

Enumeration DateOctober 25, 2012

Last NPPES UpdateJune 28, 2019

✔ NPI 1336492511 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207QG0300X

Definition

A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital.

1005 BOULDER DR, Gray, GA 31032

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Secondary Practice Location 1

Location 14421 Carnes StAcworth, GA 30101-5305 · Phone (478) 621-2072

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

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.

MAULIKKUMAR ARVINDBHAI PATEL MD

Internal Medicine