FAMILY PRACTICE ASSOICATES LLC – NPI #1972725216
General Practice

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

FAMILY PRACTICE ASSOICATES LLC is a provider located in TIFTON, GA. NPPES has assigned the NPI number 1972725216 to FAMILY PRACTICE ASSOICATES LLC on May 03, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 208D00000X from the Health Care Provider Taxonomy code set, which is classified as General Practice.

The NPI profile was previously updated about 11 years ago on May 08, 2015. 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 FAMILY PRACTICE ASSOICATES LLC below.

NPI Profile for
FAMILY PRACTICE ASSOICATES LLC

NPI Number
1972725216
Enumeration Date

(more than 19 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
FAMILY PRACTICE ASSOICATES LLC
Primary location
612 LOVE AVE
TIFTON, GA 31794
Phone: (229) 391-3300 Fax: (229) 388-1948
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
CARL JOHNSON
PRACTICE OWNER/PHYSICIAN
Phone: (229) 391-3300
Updated
Identifiers

Identifiers for FAMILY PRACTICE ASSOICATES LLC

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
MEDICAIDGA85002772G
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
208D00000X
- General Practice (Primary)
GA 28796

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.