NPI 1104718634 · live from the CMS NPI Registry
Adventist Health System Sunbelt, INC
Family Medicine in Rome, GA. National Provider Identifier 1104718634, active.
NPI record
| NPI | 1104718634 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Family Medicine 207Q00000X |
| Practice location | 435 Turner Mccall Blvd Ne Unit B6-7, Rome, GA 30165 |
| Practice phone | 706-368-8894 |
| Mailing address | 2600 Westhall Ln Ste 300, Maitland, FL 32751 |
| Enumerated | July 18, 2025 |
| Last updated | July 18, 2025 |
| Authorized official | Scott Brady, President |
| Other names | Adventhealth Total Health Management Dba Adventhealth Primary Care Rome Ga |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatrics | 208000000X | — |
| Physician Assistant | 363A00000X | — |
| Nurse Practitioner, Family | 363LF0000X | — |
| Family Medicine primary | 207Q00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.