PROFESSIONAL PARK MEDICAL SERVICES, P.C. – NPI #1386662849
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.

PROFESSIONAL PARK MEDICAL SERVICES, P.C. is a provider located in CARROLLTON, GA. NPPES has assigned the NPI number 1386662849 to PROFESSIONAL PARK MEDICAL SERVICES, P.C. on July 17, 2006. 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.

The NPI profile was previously updated about 10 years ago on Mar 04, 2016. 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 PROFESSIONAL PARK MEDICAL SERVICES, P.C. below.

NPI Profile for
PROFESSIONAL PARK MEDICAL SERVICES, P.C.

NPI Number
1386662849
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
PROFESSIONAL PARK MEDICAL SERVICES, P.C.
Primary location
SUITE 202
100 PROFESSIONAL PARK
CARROLLTON, GA 30117
Phone: (770) 832-6861 Fax: (770) 832-9432
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
JEFFERSON GORDON
FAMILY PRACTICE MD
Phone: (770) 832-6861
Updated
Identifiers

Identifiers for PROFESSIONAL PARK MEDICAL SERVICES, P.C.

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
OTHERMEDICARE RAILROADGACJ2154
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)

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.