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FAMILY PRACTICE OF HABERSHAM PC , NPI 1093717357

Internal Medicine in DEMOREST, GA

Last Updated on : Jan 04,2012

About FAMILY PRACTICE OF HABERSHAM PC (NPI 1093717357)


FAMILY PRACTICE OF HABERSHAM PC is an Internal Medicine in DEMOREST, United States

1093717357 is NPI number of FAMILY PRACTICE OF HABERSHAM PC.

FAMILY PRACTICE OF HABERSHAM PC's primary taxonomy code based on NPI Lookup is 207R00000X with license number 032741. This taxonomy code refers to Internal Medicine.

FAMILY PRACTICE OF HABERSHAM PC current practice location address is 590 HISTORIC HWY 441 N, DEMOREST, GA. FAMILY PRACTICE OF HABERSHAM PC can be reached out via phone at 706-754-5511 and via fax at 706-754-5577 .

You can also correspond with FAMILY PRACTICE OF HABERSHAM PC through mail at mailing address PO BOX 1779, DEMOREST, GA, United States. Mailing address contact number is 706-754-5511.

The enumeration date of FAMILY PRACTICE OF HABERSHAM PC is 01-Jun-2005. The provider is registered as an Organization and the NPI record was last updated 10 years ago.

The authorized official of FAMILY PRACTICE OF HABERSHAM PC is BEVERLY CARTER (PRACTICE MANAGER). BEVERLY CARTER can be reached at 7067545511.

1093717357 NPI Information

Name FAMILY PRACTICE OF HABERSHAM PC
National Provider Id (NPI) 1093717357
Entity Type Organization
Practice Address 590 HISTORIC HWY 441 N,
DEMOREST, GA, United States
Practice Telephone 706-754-5511
Practice Fax Number 706-754-5577
Mailing Address PO BOX 1779 , 590 HISTORIC HWY 441 N.
DEMOREST, GA, United States
Mailing Telephone 706-754-5511
Mailing Fax Number 706-754-5577
Enumeration Date 01-Jun-2005
Last Updated Date 04-Jan-2012

FAMILY PRACTICE OF HABERSHAM PC (NPI 1093717357) Primary Taxonomy Information

Primary Taxonomy Code Clasification License Number License State
Y 207R00000X Internal Medicine 032741 GA

Additional Identifiers

Identifier Type/Code Identifier State Identifier Issuer
CI7226 MEDICARE ID-Type Unspecified (04) GA RAILROAD MEDICARE NUMBER
GRP3078 MEDICARE ID-Type Unspecified (04) GA MEDICARE GROUP NUMBER

FAMILY PRACTICE OF HABERSHAM PC (NPI 1093717357) Office Location

Providers in same location

NPI Name Taxonomy Address Enumeration date
1962687483 DEEPAK K AGGARWAL Internal Medicine, Nephrology 663 LANIER PARK DR,
GAINESVILLE, GA, United States
03-Jan-2008
1487958377 MERCY LORINDA PEARCE Physician Assistant 99 E STATE ST,
GLOVERSVILLE, NY, United States
06-Jan-2011
1801943972 BAMBI J WOMACK Physical Therapist 8823 PRODUCTION LN,
OOLTEWAH, TN, United States
04-Jan-2007
1942357744 ERNEST C HAN Internal Medicine, Nephrology 663 LANIER PARK DR,
GAINESVILLE, GA, United States
04-Jan-2007
1972191807 EMILY ROSE NONNEMAKER Occupational Therapist 2352 HIGHWAY 115,
DEMOREST, GA, United States
06-Jan-2021
1407278237 DEBORAH GALE Pharmacist 116 SAVANNAH TER,
DEMOREST, GA, United States
14-Jan-2014
1063958486 BRITTANY BRAUN Specialist/Technologist, Athletic Trainer PO BOX 10,
DEMOREST, GA, United States
09-Jan-2017
1114906849 JOHN SIMMS Physician Assistant PO BOX 657,
DEMOREST, GA, United States
11-Jan-2006
1235528415 DANIEL BRYCE SKIPPER Nurse Anesthetist, Certified Registered 541 HISTORIC HWY #441-N,
DEMOREST, GA, United States
12-Jan-2015
1861858623 ELIZABETH GRASS Physician Assistant, Medical 663 LANIER PARK DR,
GAINESVILLE, GA, United States
11-Jan-2016
1528457702 JOSHUA SCOTT NEWBY Nurse Anesthetist, Certified Registered PO BOX 369,
TURNERVILLE, GA, United States
12-Jan-2015
1790174977 SHEILA DICKERSON Licensed Practical Nurse 302 TIMBERLINE DR,
DEMOREST, GA, United States
12-Jan-2015
1447797063 CMVO, LLC Pharmacy, Community/Retail Pharmacy PO BOX 1539,
DEMOREST, GA, United States
20-Jan-2017
1942289210 THOMAS LAWRENCE HATCHETT Obstetrics & Gynecology 870A AUSTIN DR,
DEMOREST, GA, United States
13-Jan-2006
1528110111 SUSAN WEST Dietitian, Registered 2590 GINGER DR,
BUFORD, GA, United States
17-Jan-2007
1346786225 JEREMY WEBB Nurse Anesthetist, Certified Registered 215 DEER RIDGE LN,
GRAY, GA, United States
16-Jan-2017
1649259722 SANDRA ROBB Nurse Practitioner, Women's Health 870A AUSTIN DR,
DEMOREST, GA, United States
17-Jan-2006
1063801470 WILLIAM E GARRY Nurse Anesthetist, Certified Registered PO BOX 369,
TURNERVILLE, GA, United States
22-Jan-2015
1609053420 KATHRYN LOUISE GAUTHIER Registered Nurse 185 SCOGGINS DR,
DEMOREST, GA, United States
23-Jan-2008
1447437082 GEARY DILLON BUSH Surgery 725 JESSE JEWELL PKWY SE,
GAINESVILLE, GA, United States
25-Jan-2008

FAQs

Whose NPI Number is 1093717357?

1093717357 is the NPI number of FAMILY PRACTICE OF HABERSHAM PC.

Where is FAMILY PRACTICE OF HABERSHAM PC located?

FAMILY PRACTICE OF HABERSHAM PC is located at 590 HISTORIC HWY 441 N, DEMOREST, GA.

NPI number meaning

Field Name Field Value
NPI 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider.
Entity Type Code describing the type of health care provider that is being assigned an NPI. Codes are:
  • 1 = (Person): individual human being who furnishes health care;
  • 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
Provider Business Mailing Address The mailing address of the provider being identified contains First line, Second Line, City name, State name, Postal code, and Country code.
Provider Business Mailing Address Telephone Number The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as "Provider location address telephone number".
Provider Business Mailing Address Fax Number The fax number associated with the mailing address of the provider being identified. This data element may contain the same information as ''Provider location address fax number''.
Provider Business Practice Location Address Telephone Number The telephone number associated with the location address of the provider being identified.
Provider Business Practice Location Address Fax Number The fax number associated with the location address of the provider being identified.
Provider Enumeration Date The date the provider was assigned a unique identifier (assigned an NPI).
Last Update Date The date that a record was last updated or changed.
Authorized Official Telephone Number The 10-position telephone number of the authorized official.
Healthcare Provider Taxonomy Code The Health Care Provider Taxonomy code is a unique alphanumeric code, ten characters in length. The code set is structured into three distinct "Levels" including Provider Type, Classification, and Area of Specialization.
Healthcare Provider Taxonomy Taxonomy Description of the Healthcare Provider.
Provider License Number Certain taxonomy selections will require you to enter your license number and the state where the license was issued. Select Foreign Country in the state drop down box if the license was issued outside of United States. The License Number field allows the following special characters: ampersand, apostrophe, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters. DO NOT report the Social Security Number (SSN), IRS Individual Taxpayer Identification Number (ITIN) in this section.
Provider License Number State Code Provider License Number State Code #1
Healthcare Provider Primary Taxonomy Switch Primary Taxonomy:
  • X - The primary taxonomy switch is Not Answered;
  • Y - The taxonomy is the primary taxonomy (there can be only one per NPI record);
  • N - The taxonomy is not the primary taxonomy.
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