FIRST CHOICE PRIMARY CARE, INC. (NPI# 1336332857) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336332857 |
| Entity Type | Organization |
| Organization Name | FIRST CHOICE PRIMARY CARE, INC. |
| Practice Address |
770 Walnut St Macon GA 31201-7307 |
| Mailing Address |
Po Box 4363 Macon GA 31208-4363 |
| Practice Telephone | 4787874266 |
| Practice Fax Number | 4787874199 |
| Mailing Telephone | 4787874266 |
| Mailing Fax Number | 4787874199 |
| Enumeration Date | 2007-08-20 |
| Last Update Date | 2012-11-07 |
| Authorized Official Name | KATHERINE KENNEDY MCLEOD (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 4787874266 |
| Authorized Official Credential | MSPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 713878795A | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558714329 | First Choice Primary Care, Inc. | Clinic/Center | 174 Walnut St, Macon, GA 31201-3440 | 2016-07-18 |
| 1154747590 | First Choice Primary Care, Inc. | Clinic/Center | 207 Green Street, Warner Robins, GA 31093-2727 | 2014-03-10 |
| 1083145981 | First Choice Primary Care, Inc. | Clinic/Center | 3741 Houston Ave, Macon, GA 31206-2415 | 2017-03-22 |
| 1023492162 | First Choice Primary Care, Inc. | Clinic/Center | 171 Emery Hwy, Macon, GA 31217-3666 | 2015-07-18 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | FIRST CHOICE PRIMARY CARE, INC. | 770 Walnut St Ste 7a, Macon, GA 31201-0312 |
| Street Address |
770 WALNUT ST |
| City | MACON |
| State | GA |
| Zip Code | 31201-7307 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427042290 | Victoria Woods Anderson | Family Medicine | 770 Walnut St, Macon, GA 31201-7307 | 2005-09-07 |
| 1235685959 | Lanita James | Nurse Practitioner | 770 Walnut St, Macon, GA 31201-7307 | 2016-09-01 |
| 1801278700 | Rachel Alean Andrews | Nurse Practitioner | 770 Walnut St, Macon, GA 31201-7307 | 2015-06-26 |
| 1598152811 | Lawanda Greene | Nurse Practitioner | 770 Walnut St, Macon, GA 31201-7307 | 2015-04-24 |
| 1205229531 | Shanita Southerland Ausborn | Nurse Practitioner | 770 Walnut St, Macon, GA 31201-7307 | 2015-03-11 |
| 1760804132 | Michele Scarborough | Nurse Practitioner | 770 Walnut St, Macon, GA 31201-7307 | 2014-01-20 |
| 1831532704 | Tiffany Gaulden Carswell | Nurse Practitioner | 770 Walnut St, Macon, GA 31201-7307 | 2013-04-10 |
| 1023368040 | Mariana Thuyen Nguyen | Nurse Practitioner | 770 Walnut St, Macon, GA 31201-7307 | 2012-09-17 |
| 1669768990 | Kameisha Tenille Williams-thomas | Family Medicine | 770 Walnut St, Macon, GA 31201-7307 | 2011-06-24 |
| 1942520093 | Jennifer Evans | Family Medicine | 770 Walnut St, Macon, GA 31201-7307 | 2010-06-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639666340 | Yasameen Emad Muzahim | Internal Medicine | 777 Hemlock Street, Msc 165, Macon, GA 31201 | 2018-04-18 |
| 1952819419 | Putnam Dialysis LLC | Clinic/Center | 657 Hemlock Street, Suite 200, Macon, GA 31201 | 2018-01-18 |
| 1730604331 | Graham Arthur Mercier | Surgery | 169 Ashley Ave., Room 202 Main Hospital Msc 333, Charleston, SC 31201 | 2017-08-04 |
| 1376075705 | Diamond Jude | Internal Medicine | 777 Hemlock Street Msc #104, Macon, GA 31201 | 2017-04-03 |
| 1174055263 | Carol Roobin Bashuk | Hearing Instrument Specialist | 634 First Street, Macon, GA 31201 | 2017-03-29 |
| 1144752411 | Hubert Pare | Student in an Organized Health Care Education/Training Program | 777 Hemlock Street, Msc# 165, Macon, GA 31201 | 2017-03-28 |
| 1548613789 | Michael Daugherty | Counselor | 1873 Hardeman Ave, Suite 1, Macon, GA 31201 | 2016-07-22 |
| 1316317993 | 4front Healthcare of Middle Georgia, LLC | Hospice Care, Community Based | 682 1st St, Macon, GA 31201 | 2015-09-25 |
| 1881073054 | Andrew Lee Drahos | Surgery | 777 Hemlock St # 140, Macon, GA 31201 | 2015-05-21 |
| 1720474158 | April Nicole Colley | Nurse Practitioner | 1014 Forsyth Street, Macon, GA 31201 | 2015-04-13 |
| Find all providers in zip 31201 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558714329 | First Choice Primary Care, Inc. | Clinic/Center | 174 Walnut St, Macon, GA 31201-3440 | 2016-07-18 |
| 1740666767 | First Choice Primary Care, Inc | Clinic/Center | 855 Anthony Rd, Macon, GA 31204-6266 | 2015-07-31 |
| 1023492162 | First Choice Primary Care, Inc. | Clinic/Center | 171 Emery Hwy, Macon, GA 31217-3666 | 2015-07-18 |
| 1215311352 | Northeast Missouri Health Council, Inc | Clinic/Center | 209 N Missouri St, Macon, MO 63552-2151 | 2015-07-18 |
| 1487038881 | Northeast Missouri Health Council, Inc | Clinic/Center | 209 N Missouri St, Macon, MO 63552-2151 | 2015-07-15 |
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| 1417597238 | The Family Health Centers of Georgia, Inc | Clinic/Center | 19 John Maddox Dr Nw Ste B, Rome, GA 30165-1477 | 2020-01-09 |
| 1649810714 | Careconnect Health, Inc. | Clinic/Center | 254 Wright Avenue, Roberta, GA 31078 | 2020-01-07 |
| 1437798725 | Careconnect Health, Inc. | Clinic/Center | 414 S Frontage Rd Lot 53, Forsyth, GA 31029-3025 | 2020-01-03 |
| 1285277608 | Saint Joseph's Mercy Care Services, Inc. | Clinic/Center | 1976 Flat Shoals Rd Se Ste B, Atlanta, GA 30316-2857 | 2019-10-18 |
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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.