Practitoners Community Care
LBN: Practitoners Community Care
Practitoners Community Care is an health care organization with primary practice located at 870 Crestmark Dr Ste 200 , Lithia Springs GA 30122-2665. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Primary Care, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Ambulatory Health Care Facilities / Primary Care is the primary health care specialty.
Practitoners Community Care can be contacted via phone (770) 374-7062, or through Littles, Sheila Renee via phone (770) 374-7062.
Contact Information
Primary practice address
870 Crestmark Dr Ste 200
Lithia Springs GA 30122-2665
Phone: (770) 374-7062
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Primary Care | 261QP2300X | ||
| Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X |
Profile Details
| NPI number | 1043860554 |
|---|---|
| LBN Legal business name | Practitoners Community Care |
| DBA Doing business as | |
| Authorized official | Littles, Sheila Renee DNP, NP |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Sep 17th, 2019 |
| Last updated | Jul 18th, 2022 - about 4 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1043860554 | NPPES |
| Georgia | Other | Q03882281 | MEDICARE |
| Georgia | MEDICAID | 003227729B | MEDICARE |
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