WEST GEORGIA MEDICAL CENTER
NPI 1356664247
Dietitian, Registered in Lagrange, GA

Q: What is West Georgia Medical Center, Inc.'s NPI number?

The NPI number for West Georgia Medical Center, Inc. is 1356664247. It was assigned to this organization in the NPPES registry on March 5, 2010. The provider is doing business as West Georgia Medical Center.

Q: What is West Georgia Medical Center, Inc.'s specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Active since March 05, 2010

1514 VERNON RD, LAGRANGE, GA 30240(706) 882-1411(706) 845-8918 Get Directions Write a Review

NPPES record last updated: October 8, 2014. Verified against the NPPES registry weekly; last sync: October 18, 2026.

On this page

About West Georgia Medical Center NPPES

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

WEST GEORGIA MEDICAL CENTER (NPI 1356664247) is a healthcare organization registered as a dietitian, registered in Lagrange, Georgia and active in the NPI registry since March 2010. The organization lists Gerald N. Fulks, President/ceo, as its authorized official.

NPPES Registry Identity

NPI1356664247

Entity TypeOrganization

Primary Taxonomy133V00000X

Legal Business NameWEST GEORGIA MEDICAL CENTER, INC.

Location Address1514 VERNON RDLagrange, GA 30240-4131

Mailing Address1514 Vernon RdLagrange, GA 30240-4131 · (706) 882-1411 · Fax (706) 845-8918

Phone(706) 882-1411

Fax(706) 845-8918

Organization SubpartYes

Authorized OfficialGerald N. FulksPresident/ceo · (706) 845-3702

Enumeration DateMarch 5, 2010

Last NPPES UpdateOctober 8, 2014

✔ NPI 1356664247 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers

Taxonomy Code133V00000X

Definition

A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.

1514 VERNON RD, Lagrange, GA 30240

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Other Names 1

Doing Business AsWest Georgia Medical Center

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

West Georgia Medical Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 2 clinicians reassign Medicare billing to West Georgia Medical Center, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (2)

William Behm, M.D.

Diagnostic Radiology

NPI 1881753291

705 DIXIE ST
Carrollton, GA 30117

(770) 836-9660

✔ PECOS✔ Accepts Medicare37 mi

Cameron Kersey, M.D.

Diagnostic Radiology

NPI 1902933229

717 20TH ST
Columbus, GA 31904

(706) 653-0292

✔ PECOS✔ Accepts Medicare38 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 West Georgia Medical Center, Inc.'s NPI number?

The NPI number for West Georgia Medical Center, Inc. is 1356664247. It was assigned to this organization in the NPPES registry on March 5, 2010. The provider is doing business as West Georgia Medical Center.

Where is West Georgia Medical Center, Inc. located?

West Georgia Medical Center, Inc. is located at 1514 Vernon Rd, Lagrange, GA 30240. The listed phone number is (706) 882-1411.

What is West Georgia Medical Center, Inc.'s specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Is West Georgia Medical Center, Inc. enrolled in Medicare?

Yes. West Georgia Medical Center, Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through West Georgia Medical Center, Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Diagnostic Radiology, reassign their Medicare billing to West Georgia Medical Center, Inc.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for West Georgia Medical Center, Inc. was last updated on October 8, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.