FAMILY MEDICAL CENTER OF NE GEORGIA,LLC (NPI# 1154449486) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154449486 |
| Entity Type | Organization |
| Organization Name | FAMILY MEDICAL CENTER OF NE GEORGIA,LLC |
| Practice Address |
555 Old Norcross Rd Suite 100 Lawrenceville GA 30045-8716 |
| Practice Telephone | 7708223031 |
| Practice Fax Number | 7708223032 |
| Mailing Telephone | 7708223031 |
| Mailing Fax Number | 7708223032 |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | RENEE LECLAIRE (OFFICE MANAGER) |
| Authorized Official Telephone | 7708223031 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 207Q00000X | Family Medicine | 026300 | GA | Allopathic & Osteopathic Physicians |
| X | 207R00000X | Internal Medicine | 026300 | GA | Allopathic & Osteopathic Physicians |
| X | 208100000X | Physical Medicine & Rehabilitation | 026300 | GA | Allopathic & Osteopathic Physicians |
| Street Address |
555 OLD NORCROSS RD SUITE 100 |
| City | LAWRENCEVILLE |
| State | GA |
| Zip Code | 30045-8716 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750329306 | Tlc for Women | Obstetrics & Gynecology | 555 Old Norcross Rd, Suite 250, Lawrenceville, GA 30045-8716 | 2006-06-04 |
| 1831583277 | Clear Choice Family Medicine, Inc | Family Medicine | 555 Old Norcross Rd, Suite 100, Lawrenceville, GA 30046-8716 | 2015-03-24 |
| 1750699005 | Pet Imaging Center of Gwinnett LLC | Clinic/Center | 555 Old Norcross Rd, 115, Lawrenceville, GA 30046-8716 | 2010-09-21 |
| 1184889735 | Michelle Mahajan | Nurse Practitioner | 555 Old Norcross Rd, Suite 210, Lawrenceville, GA 30045-8716 | 2008-07-23 |
| 1548388697 | Complete Physical Therapy & Diagnostic Center, LLC | Physical Medicine & Rehabilitation | 555 Old Norcross Rd, Suite 100, Lawrenceville, GA 30045-8716 | 2007-03-27 |
| 1881725620 | Jean Young Song | Pediatrics | 555 Old Norcross Rd, Suite 210, Lawrenceville, GA 30045-8716 | 2007-03-07 |
| 1104960301 | Emmanuel Eze Mordi | Pediatrics | 555 Old Norcross Rd, Suite 210, Lawrenceville, GA 30045-8716 | 2007-02-19 |
| 1730223934 | Divya Biren Joshi | Pediatrics | 555 Old Norcross Rd, Suite 210, Lawrenceville, GA 30046-8716 | 2007-02-19 |
| 1366598799 | Anita Singh Khichi | Pediatrics | 555 Old Norcross Rd, Suite 210, Lawrenceville, GA 30046-8716 | 2007-01-26 |
| 1225184658 | Guna P Sekar | Pediatrics | 555 Old Norcross Rd, Ste 210, Lawrenceville, GA 30046-8716 | 2007-01-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285104315 | Shalanda Monique Booker | Counselor | 2940 Emerald Springs Drive, Lawrenceville, GA 30045 | 2018-12-02 |
| 1669957320 | Chantelle S Fuller | Behavioral Analyst | 805 Donington Cir, Lawrenceville, GA 30045 | 2018-09-28 |
| 1356836035 | Gad Health Care LLC | Home Health | 1140 Great Oaks Dr, Lawrenceville, GA 30045 | 2018-06-26 |
| 1346668662 | Eca Optical, LLC | Eyewear Supplier (Equipment, not the service) | 601-a Professional Drive, Ste 170, Lawrenceville, GA 30045 | 2014-04-03 |
| 1598102733 | Selena Fuller | Nurse Practitioner | 181 South Clayton Street, Lawrenceville, GA 30045 | 2013-05-29 |
| 1942555982 | Vida Michele James-bryant | Community Health Worker | 1309 Avington Glen Dr, Lawrenceville, GA 30045 | 2012-07-16 |
| 1770840639 | Rebecca Vinson D'angelo | Occupational Therapist | 1518 Great Shoals Cir, Lawrenceville, GA 30045 | 2012-04-17 |
| 1427346774 | Amanda Michelel Woods | Psychologist | 285 South Perry Street, Lawrenceville, GA 30045 | 2011-07-20 |
| 1790070563 | M & G Pharmacy Inc | Pharmacy | 100 Hurricane Shoals Rd Suite F, Lawrenceville, GA 30045 | 2011-06-09 |
| 1306146154 | Thanh Dau | Optometrist | 1250 Scenic Highway, Ste 1268, Lawrenceville, GA 30045 | 2010-10-27 |
| Find all providers in zip 30045 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669989422 | Choicemed Inc | Family Medicine | 3545 Cruse Rd Ste 100, Lawrenceville, GA 30044-3169 | 2018-01-02 |
| 1356705768 | Mark Adam Theodore Molckovsky | Family Medicine | 32 East Lawrence Road, Lawrenceville, PA 16929 | 2016-04-12 |
| 1902290570 | New League Family Practice | Family Medicine | 428 Waterbury Dr, Lawrenceville, GA 30046-3323 | 2015-03-23 |
| 1114347580 | Tik Pau | Family Medicine | 665 Duluth Hwy Ste 501, Lawrenceville, GA 30046-8709 | 2014-04-23 |
| 1346687696 | Paul Andrew Robertson | Family Medicine | 825 Meadowsong Cir, Lawrenceville, GA 30043-4236 | 2013-05-28 |
| 1952667388 | Alfred B. Amendolara Md, PC | Family Medicine | 2380 Lawrenceville Rd, Lawrenceville, NJ 08648 | 2012-04-10 |
| 1013200096 | Sana Rabbi | Family Medicine | 455 Philip Blvd, Ste 130, Kaiser Permanente Lawrenceville Medical Office, Lawrenceville, GA 30046 | 2011-05-24 |
| 1992021232 | Community Family Practice and Urgent Care P C | Family Medicine | 277 E Crogan St, Lawrenceville, GA 30046-5054 | 2010-04-12 |
| 1013148626 | Sheila Kennedy | Family Medicine | 1430 Five Forks Trickum Rd St 220, Lawrenceville, GA 30044-8182 | 2009-07-30 |
| 1366628117 | Nazra Baluch | Family Medicine | 1692 Atkinson Park Cir, Lawrenceville, GA 30043-7937 | 2008-01-10 |
| Find all providers in LAWRENCEVILLE | ||||
| City | LAWRENCEVILLE |
| Zip Code | 30045 |
Please comment or provide details below to improve the information on FAMILY MEDICAL CENTER OF NE GEORGIA,LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.