TMC CHILDREN'S HEALTHCARE OF WEST GEORGIA – NPI #1518972348
Clinic/Center

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).

TMC CHILDREN'S HEALTHCARE OF WEST GEORGIA is an AHC clinic located in CARROLLTON, GA. NPPES has assigned the NPI number 1518972348 to TMC CHILDREN'S HEALTHCARE OF WEST GEORGIA on July 30, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. TMC CHILDREN'S HEALTHCARE OF WEST GEORGIA is also known by the name CHILDREN'S HEALTHCARE OF WEST GEORGIA. The primary taxonomy selected by this provider is 261QM2500X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Medical Specialty

The NPI profile was previously updated about 16 years ago on Jun 30, 2010. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for TMC CHILDREN'S HEALTHCARE OF WEST GEORGIA below.

NPI Profile for
TMC CHILDREN'S HEALTHCARE OF WEST GEORGIA

NPI Number
1518972348
Enumeration Date

(about 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
TMC CHILDREN'S HEALTHCARE OF WEST GEORGIA
Other Name: CHILDREN'S HEALTHCARE OF WEST GEORGIA
Primary location
148 CLINIC AVE
CARROLLTON, GA 30117-4414
Phone: (770) 838-8640 Fax: (770) 838-8650
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
DALE DREILING
SENIOR VP
Phone: (770) 838-8038
Updated
Identifiers

Identifiers for TMC CHILDREN'S HEALTHCARE OF WEST GEORGIA

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERMEDICAID PAYEEGA300035885A
OTHERMEDICAID PAYEEGA300035885C
OTHERMEDICAID PAYEEGA300035885B
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QM2500X
- Clinic/Center / Medical Specialty (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.