JOHNS CREEK FAMILY MEDICINE LLC (NPI# 1720272412) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720272412 |
| Entity Type | Organization |
| Organization Name | JOHNS CREEK FAMILY MEDICINE LLC |
| Practice Address |
4365 Johns Creek Pkwy Suite 430 Suwanee GA 30024-6089 |
| Practice Telephone | 6784740040 |
| Practice Fax Number | 6784740095 |
| Mailing Telephone | 6784740040 |
| Mailing Fax Number | 6784740095 |
| Enumeration Date | 2007-09-05 |
| Last Update Date | 2012-10-15 |
| Authorized Official Name | JAMES L ROTH (MEMBER) |
| Authorized Official Telephone | 6784740040 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 046525 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 000971308A | 05 | |
| RAILROAD MEDICARE GROUP | DB1574 | 01 | |
| MEDICARE GROUP NUMBER | GRP4691 | 01 |
| Street Address |
4365 JOHNS CREEK PKWY SUITE 430 |
| City | SUWANEE |
| State | GA |
| Zip Code | 30024-6089 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992735765 | Michael F Conlin | Internal Medicine | 4365 Johns Creek Pkwy, Suite 400, Suwanee, GA 30024-6099 | 2006-07-04 |
| 1578920336 | Margaret Adams | Nurse Practitioner | 4365 Johns Creek Pkwy, Suite 400, Suwanee, GA 30024-6099 | 2016-01-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356996565 | Stephanie Arkin | Student in an Organized Health Care Education/Training Program | 25 Old Peachtree Rd Nw, Suwanee, GA 30024 | 2019-08-05 |
| 1164989638 | Laquitta Craft | Registered Nurse | 2855 Lawrenceville Suwanee Road Suite 330/340, Suwanee, GA 30024 | 2019-02-21 |
| 1467937235 | Greater Atlanta Monitoring, LLC | Electrodiagnostic Medicine | 3651 Peachtree Ste E. #331, Suwanee, GA 30024 | 2018-09-27 |
| 1760963482 | Esther Natacha Lafontant | Public Health or Welfare | 3205 Maple Terrace Drive, Suwanee, GA 30024 | 2018-08-22 |
| 1740778463 | Immaculate Healthcare Solutions, LLC | Home Health | 970 Peachtree Industrial Blvd Ste 8, Suwanee, GA 30024 | 2018-04-27 |
| 1053819235 | Sean Wonsuk Jang | Chiropractor | 3370 Lawrenceville Suwanee Rd Ste 118, Suwanee, GA 30024 | 2018-01-23 |
| 1932628468 | Silver Health Services, Inc. | Case Manager/Care Coordinator | 2640 Westbury Court, Swanee, GA 30024 | 2017-09-15 |
| 1285159095 | April L. Rivers | Nurse Practitioner | 4411 Suwanee Dam Rd Ste 110, Suwanee, GA 30024 | 2017-08-14 |
| 1144743840 | Nabil Elkareh | Pharmacist | 5049 Tarry Glen Drive., Suwanee, GA 30024 | 2017-07-25 |
| 1720508294 | Robert A Finkel Dds PC | Clinic/Center | 1325 Satellite Blvd Nw Ste 1304, Suwanee, GA 30024 | 2017-06-26 |
| Find all providers in zip 30024 | ||||
| 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 |
|---|---|---|---|---|
| 1528535820 | A Q Medical Associates LLC | Family Medicine | 4485 Tench Rd Ste 740, Suwanee, GA 30024-6740 | 2018-10-25 |
| 1477903961 | Bryan D Vo | Family Medicine | 4235 Johns Creek Pkwy Ste A, Suwanee, GA 30024-6038 | 2016-06-15 |
| 1275918914 | Primary Medical LLC | Family Medicine | 4390 Cedar Bridge Walk, Suwanee, GA 30024-1323 | 2015-07-23 |
| 1841677275 | Nicole Thomas | Family Medicine | 530 Highland Station Dr. Suite 4001, Suwanee, GA 30024 | 2015-05-06 |
| 1730501586 | Pandya Medical Center, Inc | Family Medicine | 3925 Johns Creek Ct Ste A, Suwanee, GA 30024-6618 | 2014-01-14 |
| 1528322450 | Priyadarshi Kurl | Family Medicine | 1120 Peachtree Industrial Blvd Ste 208, Suwanee, GA 30024-2013 | 2012-06-26 |
| 1649460437 | Jk Internal Medicine & Geriatrics,pc | Family Medicine | 1325 Satellite Blvd, Bldg 700 Ste 701a, Suwanee, GA 30024-4651 | 2007-07-27 |
| 1225242308 | Restored Health Inc. | Family Medicine | 590 Barony Cv, Suwanee, GA 30024-3085 | 2007-05-09 |
| 1134208473 | Rekha Singh | Family Medicine | 2880 Lawrenceville Suwanee Road, Suite 2, Suwanee, GA 30024 | 2006-11-06 |
| 1982712915 | John Yozen Shih | Family Medicine | 960 Peachtree Industrial Blvd, Suwanee, GA 30024-1995 | 2006-08-29 |
| Find all providers in SUWANEE | ||||
Please comment or provide details below to improve the information on JOHNS CREEK 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.