Atlanta Family Physicians Pc

LBN: Atlanta Family Physicians Pc
Atlanta Family Physicians Pc is an health care organization with primary practice located at 3424 Flat Shoals Rd Suite A, Decatur GA 30034-6525. The organization recently has only one registered license in Ambulatory Health Care Facilities / Clinic/Center, which is considered as the primary health care specialty. Atlanta Family Physicians Pc can be contacted via phone (404) 968-8269, or through Jingo, Ahmad K via phone (404) 968-8269.

Contact Information

Primary practice address
3424 Flat Shoals Rd Suite A Decatur GA 30034-6525
Fax: (404) 968-8274
Website:
Authorized official contact:
Name: Jingo, Ahmad K Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X 045842 Georgia

Profile Details

NPI number 1194914135
LBN Legal business name Atlanta Family Physicians Pc
DBA Doing business as
Authorized official Jingo, Ahmad K Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 16th, 2007
Last updated Dec 11th, 2023 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1194914135 NPPES
Georgia Other 110229622 MEDICARE R/R
Georgia Other GRP3465 MEDICARE R/R
Georgia Other 11BDQPM MEDICARE R/R
Georgia MEDICAID 00804339D MEDICARE R/R

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