# HOUSE CALLS OF NW GEORGIA, LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073774105
- **Authorized official:** CAROLE M. GOOCH NURSE PRACTITIONER (NURSE PRACTITIONER)
- **Authorized official phone:** (706) 266-4387

## Contact information

- **Practice address:** 30 WARD MOUNTAIN RD, KINGSTON, GA 30145-1129
- **Practice address phone:** (076) 266-4387
- **Practice address fax:** (706) 291-7383
- **Mailing address:** 30 WARD MOUNTAIN ROAD, KINGSTON, GA 30145
- **Mailing address phone:** (706) 266-4387
- **Mailing address fax:** (706) 291-7383

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LA2200X | Adult Health Nurse Practitioner | RN069392 | GA | Yes |

## Other

- **Enumeration date:** 06/20/2008
- **Last updated:** 04/27/2009