OrganizationActive
Middle Ga Family Practice LLC
NPI 1669325643 · Primary Care Clinic/Center · Eastman, GA
Provider details
- NPI number
- 1669325643
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Jina Fordham, Manager(478) 220-5444
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(53/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1085 Plaza Ave Ste a
Eastman, GA 31023-9102
Phone: (478) 220-5444
Fax: (478) 559-1073
Street-level locationGet directions
Mailing address
1085 Plaza Ave Ste a
Eastman, GA 31023-9102
Registry dates
- Enumerated
- 2026-02-18
- Last updated
- 2026-03-17
- Certified
- 2026-03-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.