COMMUNITY PRIMARY CARE OF GEORGIA LLC
NPI 1336492511
Family Medicine - Geriatric Medicine in Gray, GA

NPI Status: Active since October 25, 2012

Contact Information

1005 BOULDER DR
GRAY, GA
ZIP 31032
Phone: (478) 621-2100
Fax: (478) 744-0481

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  • Organization
  • Family Medicine
  • Geriatric Medicine

About COMMUNITY PRIMARY CARE OF GEORGIA LLC

This page provides the complete NPI Profile along with additional information for Community Primary Care Of Georgia Llc, a primary care provider established in Gray, Georgia operating as a Family Medicine, focusing in geriatric medicine . The healthcare provider is registered in the NPI registry with number 1336492511 assigned on October 2012. The practitioner's primary taxonomy code is 207QG0300X. The provider is registered as an organization and their NPI record was last updated 6 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Elize Joseph (Director Of Practice Management)

NPI
1336492511
Provider Name
COMMUNITY PRIMARY CARE OF GEORGIA LLC
Entity Type
Organization
Location Address
1005 BOULDER DR GRAY, GA 31032
Location Phone
(478) 621-2100
Location Fax
(478) 744-0481
Mailing Address
1005 BOULDER DR GRAY, GA 31032
Mailing Phone
(478) 621-2100
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-25-2012
Last Update Date
06-28-2019
Code Navigator

A primary care provider (PCP) like Community Primary Care Of Georgia Llc sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Secondary Locations

  • 4421 Carnes St
    Acworth, GA 30101
    (478) 621-2072

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Family Medicine Geriatric Medicine

Taxonomy Code
207QG0300X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
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.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

ELIZE JOSEPH

Authorized Official Title
DIRECTOR OF PRACTICE MANAGEMENT
Authorized Official Phone
(478) 621-2100

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1336492511
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
236689452
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 6 + 6 + 8 + 9 + 4 + 5 + 2 + 24 = 69
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 69 = 11

The NPI number 1336492511 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1356807507 SARAH ROSE PURSER FNP-C
Individual
Nurse Practitioner (Family)1005 BOULDER DR
GRAY, GA 31032
(478) 405-9000
1609843812DR. ROBERT DAVID CAMPBELL M.D.
Individual
Family Medicine1005 BOULDER DR
GRAY, GA 31032
(478) 621-2100
1760538656MRS. AMANDA R. WHITE APRN
Individual
Nurse Practitioner (Family)1005 BOULDER DR
GRAY, GA 31032
(478) 621-2100
1043402613MRS. BRENDA GAIL TOLLESON NP
Individual
Nurse Practitioner (Family)1005 BOULDER DR
GRAY, GA 31032
(478) 621-2100
1124339445MRS. LESLIE BUSBEE MILLER NP
Individual
Nurse Practitioner1005 BOULDER DR
GRAY, GA 31032
(478) 621-2100
1801160353MRS. LISA L. CLARK FNP
Individual
Nurse Practitioner (Family)1005 BOULDER DR
GRAY, GA 31032
(478) 621-2100
1245584788MRS. CATHERINE MARIE WILSON FNP
Individual
Nurse Practitioner (Family)1005 BOULDER DR
GRAY, GA 31032
(478) 621-2100
1134781073 MICHAEL KELLY APRN, NP-C
Individual
Nurse Practitioner (Family)1005 BOULDER DR
GRAY, GA 31032
(478) 621-2100
1548263064DR. WYATT KENNY BLAKE MD
Individual
Family Medicine1005 BOULDER DR
GRAY, GA 31032
(478) 621-2100
1528295078 CALITA SUZANNE HILL NP
Individual
Nurse Practitioner1005 BOULDER DR
GRAY, GA 31032
(478) 621-2100
1265661045 JENNIFER LEE CLARK NURSE PRACTITIONER
Individual
Nurse Practitioner (Family)1005 BOULDER DR
GRAY, GA 31032
(478) 621-2100
1932650173 SHANNON DAWN COFFEE FNP
Individual
Nurse Practitioner (Family)1005 BOULDER DR
GRAY, GA 31032
(478) 621-2100
1720475098 N'KEMA COOPER NP-C
Individual
Nurse Practitioner (Family)1005 BOULDER DR
GRAY, GA 31032
(478) 621-2100
1235574906 HEATHER LEWIS PA-C
Individual
Physician Assistant (Medical)1005 BOULDER DR
GRAY, GA 31032
(478) 621-2100
1538416821MRS. SHAWN MARIE HARRISON NP-C
Individual
Nurse Practitioner (Family)1005 BOULDER DR
GRAY, GA 31032
(478) 621-2100
1164972188MRS. MARIE ROSEMONDE NOZIL MSN, FNP-C
Individual
Nurse Practitioner (Family)1005 BOULDER DR
GRAY, GA 31032
(678) 334-7218
1942295712DR. RALPH PARKS WARNOCK M.D.
Individual
Family Medicine1005 BOULDER DR
GRAY, GA 31032
(478) 621-2100
1457496234DR. MELISSA D PRIMROSE M.D.
Individual
Family Medicine1005 BOULDER DR
GRAY, GA 31032
(478) 621-2100
1013304088 MAULIKKUMAR ARVINDBHAI PATEL MD
Individual
Internal Medicine1005 BOULDER DR
GRAY, GA 31032
(478) 874-8368
1821372236 CONSTANCE BAILEY KNOWLES FNP
Individual
Nurse Practitioner (Family)1005 BOULDER DR
GRAY, GA 31032
(478) 621-2100

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1336492511, enumerated in the NPI registry as an "organization" on October 25, 2012

The provider is located at 1005 Boulder Dr Gray, Ga 31032 and the phone number is (478) 621-2100

This medical organization specializes in Family Medicine with taxonomy code 207QG0300X with a focus in Geriatric Medicine

This NPI record was last updated on October 25, 2012. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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