Organization · NPI-2
Adventist Health System Sunbelt, INC
Family Medicine · Rome, GA
NPI number1104718634
StatusActive
Last updated in NPPESJul 18, 2025
Details
- NPI
- 1104718634
- Entity type
- Organization (NPI-2)
- Legal business name
- Adventist Health System Sunbelt, INC
- Organization subpart
- Yes
- Enumeration date
- Jul 18, 2025
- Certification date
- Jul 18, 2025
- Last updated
- Jul 18, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | – | – | Yes |
| 208000000X | Pediatrics | – | – | |
| 363A00000X | Physician Assistant | – | – | |
| 363LF0000X | Nurse Practitioner, Family | – | – |
Other names
- Adventhealth Total Health Management Dba Adventhealth Primary Care Rome Ga (Doing Business As)
Practice location
435 Turner Mccall Blvd Ne Unit B6-7Rome, GA 30165-2735
Phone 706-368-8894
Mailing address
2600 Westhall Ln Ste 300Maitland, FL 32751-7107
Phone 407-200-2300
Authorized official
Scott C Brady
President
4072002300
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