COMMUNITY PRIMARY CARE OF GEORGIA LLC


Address: 165 S Broad St, Butler, GA 31006-5526
Phone: 4788622220

COMMUNITY PRIMARY CARE OF GEORGIA LLC (NPI# 1730430968) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1730430968
Entity Type Organization
Organization Name COMMUNITY PRIMARY CARE OF GEORGIA LLC
Other Organization Name COMMUNITY PRIMARY CARE
Practice Address 165 S Broad St
Butler
GA 31006-5526
Mailing Address 4080 Mcginnis Ferry Rd
Suite 804
Alpharetta
GA 30005-3948
Practice Telephone 4788622220
Mailing Telephone 4044010225
Enumeration Date 2012-09-27
Last Update Date 2012-09-27
Authorized Official Name CHARLES KEMP (VICE PRESIDENT OF OPERATIONS)
Authorized Official Telephone 4044010225
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207QG0300X Family Medicine
Specialization: Geriatric Medicine
Allopathic & Osteopathic Physicians

Other Provider/Organization Names

Other Name Type Code
Community Primary Care Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1053662296 Community Primary Care of Georgia LLC Family Medicine 946 Veterans Pkwy, Barnesville, GA 30204-3771 2012-09-27
1336492511 Community Primary Care of Georgia LLC Family Medicine 1005 Boulder Dr, Gray, GA 31032-6141 2012-10-25
1861744179 Community Primary Care of Georgia LLC Family Medicine 343 Plantation Way, Macon, GA 31210-9286 2012-10-10
1447501689 Community Primary Care of Georgia LLC Family Medicine 529 Bolingreen Dr, Macon, GA 31210-5303 2012-09-27

Office Location

Street Address 165 S BROAD ST
City BUTLER
State GA
Zip Code 31006-5526

Providers in the same location

NPI Name Taxonomy Address Enumeration
1235171174 Taylor County Health Care LLC Skilled Nursing Facility 165 S Broad St, Butler, GA 31006-5526 2006-06-12

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1295347888 Freemans Early Intervention Services Community/Behavioral Health 13 Peach St, Butler, GA 31006 2020-08-17
1609327089 Butler Long Term Care Solutions Pharmacy 10 B North Poplar St, Butler, GA 31006 2016-10-20
1639297229 New Horizons Management, Inc Assisted Living Facility 19 Hillcrest Circle, Butler, GA 31006 2007-03-26
1184774499 Scott Albert Niette Dentist 43 South Broad Street, Butler, GA 31006 2007-01-11
1962593541 Commissioners of Roads and Revenues Taylor County Ambulance 1 Court Square, Butler, GA 31006 2006-09-27
1871604355 Julie Oliver Physician Assistant 80 West Main St., Butler, GA 31006 2006-08-31
1144333915 Smith's Pharmacy Pharmacy 10 North Poplar St, Butler, GA 31006 2006-08-16
1902833965 Taylor County Board of Health Public Health or Welfare Highway 137 West, Butler, GA 31006 2006-06-27
1003395690 Brandi Michelle St. John Nurse Practitioner 80 W Main St, Butler, GA 31006 2018-08-14
1316065915 New Horizons Management, Inc Assisted Living Facility 19 Hillcrest Circle, Butler, GA 31006 2007-03-26
Find all providers in zip 31006

Taxonomy Information

Taxonomy Code 207QG0300X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine
Specialization Geriatric Medicine

Taxonomy 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.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Family Medicine, 2007. http://wwwtheabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://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 Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1306837646 William A Dicuccio Family Medicine 480 E Jefferson St, Butler, PA 16001-4780 2005-11-04

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1295366292 B Mata LLC Family Medicine 1631 Atlanta Hwy, Gainesville, GA 30504-5942 2020-01-28
1558916056 Newtown Park Medical Clinic and Geriatrics LLC Family Medicine 2880 Old Alabama Rd #300, Johns Creek, GA 30022-5033 2019-08-02
1558830919 Patriot Healthcare of Georgia, LLC Family Medicine 833 Hairston Road, Stone Mountain, GA 30083 2018-11-15
1275002636 Patriot Healthcare of Georgia, LLC Family Medicine 1587 Phoenix Boulevard, Suite 6, College Park, GA 30349 2018-11-15
1215471479 Deana Perkins Family Medicine 756 Arrowhead Lake Rd, Thomaston, GA 30286-5004 2016-12-07
1255731741 Jafar Tabatabai M.d. P.C. Family Medicine 7961 Highway 92 Ste 100, Woodstock, GA 30189-5209 2014-09-03
1457604381 Senior Care Plus Limited Liability Company Family Medicine 990 Peachtree Industrial Blvd Number 4532, Suwanee, GA 30024-5249 2012-10-16
1053662296 Community Primary Care of Georgia LLC Family Medicine 946 Veterans Pkwy, Barnesville, GA 30204-3771 2012-09-27
1669770954 J&a Wood, LLC Family Medicine 2724 Grey Fox Ct, Haddock, GA 31033-6009 2011-03-10
1043442080 Sam Peng Md PC Family Medicine 1622 Rivergreen Bnd Se, Atlanta, GA 30339-8546 2009-08-10
Find all providers with the same taxonomy

Competitor

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City BUTLER
Zip Code 31006

Improve Information

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Dataset Information

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.

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