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HOUSTON FAMILY CARE AT BONAIRE
NPI 1497335194
Family Medicine in Kathleen, GA

Active since April 08, 2021CLIA 11D2231914 · Waiver
2510 GA HIGHWAY 127, KATHLEEN, GA 31047(478) 352-7143(478) 352-7144 Get Directions Write a Review

NPPES record last updated: September 6, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 6, 2023, Apr 8, 2021 (2 updates tracked since 2021).

About Houston Family Care At Bonaire NPPES

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

HOUSTON FAMILY CARE AT BONAIRE (NPI 1497335194) is a healthcare organization registered as a family medicine in Kathleen, Georgia and active in the NPI registry since April 2021. The organization holds a CLIA Waiver certificate valid through April 18, 2027, maintains a secondary practice location in Bonaire, and lists Sean Steven Whilden, Vp/cfo, as its authorized official.

NPPES Registry Identity

NPI1497335194
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameHOUSTON PRIMARY CARE PHYSICIANS, LLC
Location Address2510 GA HIGHWAY 127Kathleen, GA 31047-2828
Mailing Address2510 Ga Highway 127Kathleen, GA 31047-2828 · (478) 352-7143 · Fax (478) 352-7144
Phone(478) 352-7143
Fax(478) 352-7144
Organization SubpartNo
Authorized OfficialSean Steven WhildenVp/cfo · (478) 542-7959
Enumeration DateApril 8, 2021
Last NPPES UpdateSeptember 6, 20232 updates tracked since enumeration
NPPES CertifiedSeptember 5, 2023
✔ NPI 1497335194 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.
2510 GA HIGHWAY 127, Kathleen, GA 31047
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Other Names 2

Doing Business AsHouston Family Care At Bonaire
Doing Business AsHouston Family Care At Houston Lake

Secondary Practice Location 1

Location 1127 Old Highway 96 Ste BBonaire, GA 31005 · Phone (478) 352-7143 · Fax (478) 352-7144

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

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 11D2231914

Houston Primary Care Physicians, LLC · Bonaire, GA
Active · expires Apr 18, 2027
CLIA Number11D2231914
Laboratory TypePhysician Office
Certificate Effective DateApril 19, 2025
Certificate Expiration DateApril 18, 2027
Laboratory DirectorPeter Izzo
Laboratory Phone(478) 352-7143
Laboratory LocationHouston Primary Care Physicians, LLC127 Old Highway 96, Bonaire, GA 31005
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 5

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

MARIE KAY DAVIS PT
Physical Therapist
2510 GA HIGHWAY 127
KATHLEEN, GA 31047
Houston County (478) 971-1153
MS. REGINA CATHERINE WUEST PT
Physical Therapist (Orthopedic)
2510 GA HIGHWAY 127
KATHLEEN, GA 31047
Houston County (478) 971-1153
MARILYN ABRAHAM PT
Physical Therapist
2510 GA HIGHWAY 127
KATHLEEN, GA 31047
Houston County (478) 971-1153
MR. FRANCIS VITALIS ARTHUR JR. PHYSICAL THERAPIST
Physical Therapist
2510 GA HIGHWAY 127
KATHLEEN, GA 31047
Houston County (478) 971-1153
MACON ORTHOPAEDIC & HAND CENTER, PA
Orthopaedic Surgery
2510 GA HIGHWAY 127
KATHLEEN, GA 31047
Houston County (478) 745-4206

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 Houston Primary Care Physicians, LLC's NPI number?

The NPI number for Houston Primary Care Physicians, LLC is 1497335194. It was assigned to this organization in the NPPES registry on April 8, 2021. The provider is doing business as Houston Family Care At Bonaire and Houston Family Care at Houston Lake.

Where is Houston Primary Care Physicians, LLC located?

Houston Primary Care Physicians, LLC is located at 2510 Ga Highway 127, Kathleen, GA 31047. The listed phone number is (478) 352-7143.

What is Houston Primary Care Physicians, LLC's specialty?

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

Does Houston Primary Care Physicians, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2231914) is associated with this NPI, valid through April 18, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Houston Primary Care Physicians, LLC was last updated on September 6, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.