EVERGREEN FAMILY MEDICINE, LLC (NPI# 1588818389) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1588818389 |
Entity Type | Organization |
Organization Name | EVERGREEN FAMILY MEDICINE, LLC |
Practice Address |
777 W Peachtree St Norcross GA 30071-1868 |
Practice Telephone | 7702466100 |
Practice Fax Number | 7702466142 |
Mailing Telephone | 7702466100 |
Mailing Fax Number | 7702466142 |
Enumeration Date | 2008-11-06 |
Last Update Date | 2009-05-13 |
Authorized Official Name | MRS. GRACE Q CHAI (DIRECTOR) |
Authorized Official Telephone | 7702466100 |
Authorized Official Credential | M.D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
Street Address |
777 W PEACHTREE ST |
City | NORCROSS |
State | GA |
Zip Code | 30071-1868 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831175132 | Christine Liqun Bao | Family Medicine | 777 W Peachtree St, Norcross, GA 30071-1868 | 2005-12-19 |
1982239497 | Ying Fu | Nurse Practitioner | 777 W Peachtree St, Norcross, GA 30071-1868 | 2020-03-04 |
1245761303 | Patrick Huynh | Internal Medicine | 777 W Peachtree St, Norcross, GA 30071-1868 | 2017-03-21 |
1386811149 | Buford-norcross Primary Care, P.C. | Family Medicine | 777 W Peachtree St, Norcross, GA 30071-1868 | 2008-05-12 |
1043258551 | Grace Qing Chai | Family Medicine | 777 W Peachtree St, Norcross, GA 30071-1868 | 2006-06-04 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477199867 | 1st Senior Cares, LLC | Home Health | 7116 Peachtree Industrial Blvd. Bldg. 4, Ste. B, Peachtree Corners, GA 30071 | 2019-11-21 |
1124660048 | Phil Scafidi | Massage Therapist | 50 Skin Alley, Norcross, GA 30071 | 2019-10-11 |
1063071454 | Kenanesha Owens | Counselor | 3040 Holcolmb Bridge Rd Suite J2, Norcross, GA 30071 | 2019-06-10 |
1407318389 | 1st Senior Homecare, LLC | Home Health | 7116 Peachtree Industrial Blvd., Bldg 4 Suite A, Peachtree Corners, GA 30071 | 2019-04-01 |
1982163689 | Jk Acupuncture LLC | Acupuncturist | 5390 Peachtree Industrial Bl #101, Norcross, GA 30071 | 2019-03-13 |
1063990778 | First Senior Center | Clinic/Center | 7116 Peachtree Industrial Blvd, Bldg 4, Peachtree Corners, GA 30071 | 2018-08-03 |
1952896904 | Sonal P Patel | Physical Therapy Assistant | 4709 Peachtree Ind Blvd, Suite 106, Norcross, GA 30071 | 2018-06-22 |
1700392354 | Medlink Ems Inc | Ambulance | 6825 Jimmy Carter Blvd Ste 1303, Norcross, GA 30071 | 2017-12-19 |
1205377975 | David Kalisz II | Specialist/Technologist, Other | 1880 Beaver Ridge Circle Suite D, Norcross, GA 30071 | 2017-03-15 |
1356792519 | Tiffany Pope | Counselor | 6045 Atlantic Blvd Ste 108, Norcross, GA 30071 | 2016-06-28 |
Find all providers in zip 30071 |
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 |
---|---|---|---|---|
1770131732 | Thao Hieu Pham | Family Medicine | 3985 Steve Reynolds Blvd Ste K102, Norcross, GA 30093-3099 | 2019-09-03 |
1831543081 | Abiola O Saibu | Family Medicine | 5300 Oakbrook Pkwy Ste 130, Norcross, GA 30093-2261 | 2016-04-13 |
1720367287 | Ibrahim Aliu Opaleye | Family Medicine | 5955 Jimmy Carter Blvd Ste 100, Norcross, GA 30071-4608 | 2011-08-15 |
1861722183 | Loma Clinic | Family Medicine | 6011 Western Hills Dr, 100, Norcross, GA 30071-3483 | 2010-01-08 |
1407025463 | Wilmer & Associates Group Inc. | Family Medicine | 1234 Beaver Ruin Rd, Suite 108, Norcross, GA 30093-3005 | 2008-02-25 |
1487840468 | Tesfaye Md | Family Medicine | 4045 Royal Pennon Ct, Norcross, GA 30092-2178 | 2007-09-24 |
1649318171 | Rafael A Nieves | Family Medicine | 5195 Jimmy Carter Blvd Ste 100, Norcross, GA 30093-1649 | 2007-02-05 |
1477607737 | Steven Ngoc Ha | Family Medicine | 5955 Jimmy Carter Blvd, Suite 40, Norcross, GA 30071-4641 | 2007-01-23 |
1629126677 | Julie M. Crusor | Family Medicine | 6010 Dawson Blvd, Suite A-2, Norcross, GA 30093-1225 | 2007-01-08 |
1184711517 | Magnolia Medical Clinic, P.C. | Family Medicine | 1235 Indian Trail Road, Suite 200, Norcross, GA 30093 | 2006-10-06 |
Find all providers in NORCROSS |
Please comment or provide details below to improve the information on EVERGREEN FAMILY MEDICINE, 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.