UPSON FAMILY MEDICAL CENTER ,LLC (NPI# 1124528344) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124528344 |
| Entity Type | Organization |
| Organization Name | UPSON FAMILY MEDICAL CENTER ,LLC |
| Practice Address |
1512 Highway 19 N Thomaston GA 30286-2258 |
| Mailing Address |
801 W Gordon St Thomaston GA 30286-3426 |
| Practice Telephone | 7066472641 |
| Mailing Telephone | 7066478111 |
| Mailing Fax Number | 7066474389 |
| Enumeration Date | 2018-02-14 |
| Last Update Date | 2020-07-17 |
| Authorized Official Name | JEFFREY TARRANT (CEO) |
| Authorized Official Telephone | 7066478111 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Street Address |
1512 HIGHWAY 19 N |
| City | THOMASTON |
| State | GA |
| Zip Code | 30286-2258 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730162470 | Judy Lynn Hoffman | Nurse Practitioner | 1512 Highway 19 N, Family Medical Center, Thomaston, GA 30286-2258 | 2005-11-28 |
| 1568078483 | Michael W Savelle Jr. | Nurse Practitioner | 1512 Highway 19 N, Thomaston, GA 30286-2258 | 2020-09-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093190670 | Careconnect Health, Inc. | Clinic/Center | 101 Deluxe Circle, Suite B, Thomaston, GA 30286 | 2015-07-24 |
| 1366859092 | Rhanada Shanae Wyche | Licensed Practical Nurse | 1226 Trice Cemetery Spur, Thomaston, GA 30286 | 2014-07-15 |
| 1083842918 | Upson Family Physicians, Lc | Family Medicine | 612 West Gordon Street, Suite C, Thomaston, GA 30286 | 2009-06-30 |
| 1942421557 | Melanie B Jackson | Licensed Practical Nurse | 605 West Gordon, Thomaston, GA 30286 | 2007-05-01 |
| 1114064540 | Kevin Lee Delli-gatti | Pediatrics | 403 W Gordon St, Thomaston, GA 30286 | 2007-02-01 |
| 1356487367 | Fuller Life Chiropractic Center | Chiropractor | 1619 Hwy 19 North, Thomaston, GA 30286 | 2007-01-29 |
| 1013072339 | Tommy Wayne Farr | Dentist | 98 Short E St, Thomaston, GA 30286 | 2006-12-27 |
| 1841301900 | Kenneth Murray Deen | Ophthalmology | 232 Cherokee Road, Thomaston, GA 30286 | 2006-08-31 |
| 1659489987 | William B Gardner | Dentist | 507 W Gordon St, Thomaston, GA 30286 | 2006-08-28 |
| 1619936895 | Sabrina M. Lancaster | Nurse Practitioner | 503 West Grodon St, Thomaston, GA 30286 | 2006-03-17 |
| Find all providers in zip 30286 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| 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. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952734436 | Christina Leigh Huntley Noguera | Family Medicine | 915 W Gordon St, Thomaston, GA 30286-3427 | 2013-08-19 |
| 1932404662 | Patricia Hall | Family Medicine | 612 W Gordon St Ste C, Thomaston, GA 30286-3480 | 2011-01-11 |
| 1083842918 | Upson Family Physicians, Lc | Family Medicine | 612 West Gordon Street, Suite C, Thomaston, GA 30286 | 2009-06-30 |
| 1225181365 | Edward Jay Harshman | Family Medicine | 33 Booker St, Thomaston, ME 04861-3821 | 2007-01-20 |
| 1104846625 | Charles Wayne Dodgen | Family Medicine | 107 Jackson Ave, Suite A, Thomaston, GA 30286-3433 | 2006-07-20 |
| 1346227196 | David Paul Fieseler | Family Medicine | 523 W Main St, Thomaston, GA 30286-3504 | 2005-12-22 |
| 1265084701 | Brandy Pfeiffer | Family Medicine | 503 W Gordon St, Thomaston, GA 30286-3424 | 2019-07-15 |
| 1245882117 | Sabrina Lancaster Np-c Inc. | Family Medicine | 503 W Gordon St, Thomaston, GA 30286-3424 | 2019-07-11 |
| 1750855417 | Brantley Lynn Standard | Family Medicine | 801 W Gordon St, Thomaston, GA 30286-3426 | 2019-01-16 |
| 1700392438 | Upson County Hospital Inc | Family Medicine | 206 Cherokee Rd, Thomaston, GA 30286-3402 | 2017-12-18 |
| Find all providers in THOMASTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.