PROVIDENCE FAMILY MEDICINE CLINIC, INC – NPI #1346590148
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.

PROVIDENCE FAMILY MEDICINE CLINIC, INC is a provider located in LUMPKIN, GA. NPPES has assigned the NPI number 1346590148 to PROVIDENCE FAMILY MEDICINE CLINIC, INC on September 19, 2012. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

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 PROVIDENCE FAMILY MEDICINE CLINIC, INC below.

NPI Profile for
PROVIDENCE FAMILY MEDICINE CLINIC, INC

NPI Number
1346590148
Enumeration Date

(more than 13 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
PROVIDENCE FAMILY MEDICINE CLINIC, INC
Primary location
1787 BROAD STREET
PROVIDENCE FAMILY MEDICINE CLINIC, INC
LUMPKIN, GA 31815
Phone: (703) 593-6154 Fax:
Mailing address
1787 BROAD ST.
P.O. BOX 685
LUMPKIN, GA 31815
Phone: (703) 593-6154 Fax:
Organization Subpart
No
Authorized Official
SARITA MOBLEY
CEO
Phone: (703) 593-6154
Updated
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
207Q00000X
- Family Medicine (Primary)
GA 046872

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.