STONE MOUNTAIN FAMILY PRACTICE PC NPI 1053485037

NPI Information

  • NPI: 1053485037
  • Provider Name: STONE MOUNTAIN FAMILY PRACTICE, PC
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • Address: 1805 PARKE PLAZA CIR
    SUITE 101
    STONE MOUNTAIN, GA
    ZIP 30087
  • Phone: (770) 469-7000

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NPI Details

STONE MOUNTAIN FAMILY PRACTICE, PC is a family medicine in Stone Mountain, GA. The provider is 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. STONE MOUNTAIN FAMILY PRACTICE, PC NPI is 1053485037. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1805 PARKE PLAZA CIR
SUITE 101
STONE MOUNTAIN, GA
ZIP 30087-498
Phone: (770) 469-7000
Fax: (770) 879-0436

The provider's authorized official is Sarah Catherine Huggins .
The authorized official title is President and has the following contact phone number (770) 469-7000.

The enumeration date for this NPI number is 11/20/2006 and was last updated on 2/17/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1GRP690MEDICARE ID-TYPE UNSPECIFIEDGEORGIAGROUP NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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