| West Ga Family Medicine, Pc | |
|
1899 Lake Rd 212 Hiram GA 30141-2291 | |
| (770) 222-5488 | |
| (770) 222-5491 |
| Full Name | West Ga Family Medicine, Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 1899 Lake Rd, Hiram, Georgia |
| Authorized Official Name and Position | Terry Newton Langford (PRESIDENT) |
| Authorized Official Contact | 7702225488 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| West Ga Family Medicine, Pc 1899 Lake Rd 212 Hiram GA 30141-2291 Ph: (770) 222-5488 | West Ga Family Medicine, Pc 1899 Lake Rd 212 Hiram GA 30141-2291 Ph: (770) 222-5488 |
| NPI Number | 1093974578 |
|---|---|
| Provider Enumeration Date | 06/09/2008 |
| Last Update Date | 09/17/2008 |
| Medicare PECOS PAC ID | 9739256934 |
|---|---|
| Medicare Enrollment ID | O20080930000010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093974578 | NPI | - | NPPES |
| 000816923C | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 045867 (Georgia) | Primary |
| Provider Name | Terry N Langford |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194768218 PECOS PAC ID: 1052203858 Enrollment ID: I20040326000695 |
| Provider Name | Calee Stephens Britt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295123792 PECOS PAC ID: 7517284243 Enrollment ID: I20150318000305 |
| Provider Name | Amy R Evans |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063800548 PECOS PAC ID: 6305163056 Enrollment ID: I20150318000848 |
| Provider Name | Meredith B Carter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770080616 PECOS PAC ID: 6103216403 Enrollment ID: I20211130002374 |
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