CARTERSVILLE FAMILY MEDICINE, INC. (NPI# 1962460659) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962460659 |
| Entity Type | Organization |
| Organization Name | CARTERSVILLE FAMILY MEDICINE, INC. |
| Practice Address |
2294 Cartersville Rd Cartersville VA 23027-9701 |
| Practice Telephone | 8043759180 |
| Practice Fax Number | 8043759297 |
| Mailing Telephone | 8043759180 |
| Mailing Fax Number | 8043759297 |
| Enumeration Date | 2006-05-02 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. JO MYERS WILSON (OWNER/PRESIDENT) |
| Authorized Official Telephone | 8043759180 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | 0101222830 | VA | Allopathic & Osteopathic Physicians |
| Y | 207Q00000X | Family Medicine | 0024129303 | VA | Allopathic & Osteopathic Physicians |
| Street Address |
2294 CARTERSVILLE RD |
| City | CARTERSVILLE |
| State | VA |
| Zip Code | 23027-9701 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265907463 | Lauren Adelle Rowland | Assistant Behavior Analyst | 36 Jenkins Ridge Rd, Cartersville, VA 23027-9700 | 2018-10-04 |
| 1710990338 | Martin Van Dyke Pool | Social Worker | 83 Boston Hill Rd, Cartersville, VA 23027-9716 | 2006-08-14 |
| 1205168812 | Allen Pois | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1300 Deep Run Rd, Cartersville, VA 23027-9786 | 2010-02-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417556630 | Feyishayo Dahunsi | Dentist | 50 Main Street Market Pl Se Ste 500, Cartersville, GA 30121-3312 | 2020-10-19 |
| 1043818693 | 100 Percent Chiropractic Gibson LLC | Chiropractor | 11 Charley Harper Dr Ste 140, Cartersville, GA 30120-0027 | 2020-10-15 |
| 1386242147 | Busy Little Bee Speech Therapy | Speech-Language Pathologist | 2 Parmenter St, Cartersville, GA 30120-2569 | 2020-10-14 |
| 1972100865 | Resilient Physio, LLC | Clinic/Center | 790 West Ave, Cartersville, GA 30120-3402 | 2020-10-05 |
| 1063026953 | New Hope Living Centre Dba The Fite Living Centre | Assisted Living Facility | 5 Fite St, Cartersville, GA 30120-3408 | 2020-09-08 |
| 1275158040 | Karen Millsap Temples | Occupational Therapist | 351 Jordan Rd Se, Cartersville, GA 30120-7813 | 2020-06-08 |
| 1295357325 | Rhonda Ireland | Pharmacist | 125 Main Street Marketplace, Cartersville, GA 30120 | 2020-05-12 |
| 1619500071 | Jennifer Lynne Broome | Nurse Practitioner | 9b Medical Dr Ne, Cartersville, GA 30121-8003 | 2020-02-13 |
| 1639700065 | Emilee Mcdonald Thomas | Pharmacist | 125 E Main Street Marketplace, Cartersville, GA 30121 | 2020-02-04 |
| 1962032375 | James Holliday Jr. | Social Worker | 775 West Ave Ste A, Cartersville, GA 30120-3482 | 2020-01-24 |
| Find all providers in CARTERSVILLE | ||||
| 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 |
|---|---|---|---|---|
| 1558628701 | Jerry Mark Wigley Md | Family Medicine | 179 Pine Grove Rd, Suite B, Cartersville, GA 30120-8422 | 2012-04-12 |
| 1669642484 | Louis Spencer | Family Medicine | 650 Henderson Drive Suite 504, Cartersville, GA 30120 | 2008-03-07 |
| 1558495929 | Timothy F Ryan | Family Medicine | 150 Cherokee Cir Se, Cartersville, GA 30120-4032 | 2007-03-15 |
| 1265560031 | Joseph Paul Newell | Family Medicine | 519 Waterford Dr, Cartersville, GA 30120-6444 | 2007-03-01 |
| 1922156462 | Benjamin R Smith | Family Medicine | 17 Collins Dr, Cartersville, GA 30120-2487 | 2007-01-08 |
| 1336152396 | Celedor Hutto Akintunde | Family Medicine | 31 Pointe North Dr, Cartersville, GA 30120-7954 | 2006-08-14 |
| 1699794818 | Jerry Mark Wigley | Family Medicine | 179b Pine Grove Rd., Cartersville, GA 30120 | 2006-07-19 |
| 1619993102 | C. Thomas Bevill IIi | Family Medicine | 12 Medical Dr Ne, Cartersville, GA 30121-8002 | 2006-07-15 |
| 1316986227 | Cartersville Urgent Care LLC | Family Medicine | 824 West Ave, Cartersville, GA 30120-6100 | 2006-06-06 |
| 1487621033 | Lee H Battle IIi | Family Medicine | 775 West Ave, Suite A, Cartersville, GA 30120-3481 | 2006-03-02 |
| Find all providers in CARTERSVILLE | ||||
| City | CARTERSVILLE |
| Zip Code | 23027 |
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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.