COMMUNITY PRIMARY CARE – NPI #1861744179
Family Medicine

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.

COMMUNITY PRIMARY CARE is a provider located in MACON, GA. NPPES has assigned the NPI number 1861744179 to COMMUNITY PRIMARY CARE on October 10, 2012. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “COMMUNITY PRIMARY CARE” is a dba name, the actual legal business name for this organization is COMMUNITY PRIMARY CARE OF GEORGIA LLC. The primary taxonomy selected by this provider is 207QG0300X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine, specializing in Geriatric 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 COMMUNITY PRIMARY CARE below.

NPI Profile for
COMMUNITY PRIMARY CARE OF GEORGIA LLC

NPI Number
1861744179
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
COMMUNITY PRIMARY CARE OF GEORGIA LLC
Doing Business As (dba): COMMUNITY PRIMARY CARE
Primary location
343 PLANTATION WAY
MACON, GA 31210-9286
Phone: (478) 405-9000 Fax:
Mailing address
4080 MCGINNIS FERRY RD
SUITE 804
ALPHARETTA, GA 30005-3948
Phone: (404) 401-0225 Fax:
Organization Subpart
No
Authorized Official
CHARLES KEMP
VICE PRESIDENT OF OPERATIONS
Phone: (404) 401-0225
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
207QG0300X
- Family Medicine / Geriatric 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.