STEWART FAMILY PRACTICE PC NPI 1184964967

NPI Information

  • NPI: 1184964967
  • Provider Name: STEWART FAMILY PRACTICE, PC
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • CLIA Number: 11D0992003
  • Address: 4500 HUGH HOWELL RD
    STE 220
    TUCKER, GA
    ZIP 30084
  • Phone: (770) 469-0668

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NPI Details

STEWART FAMILY PRACTICE, PC is a family medicine in Tucker, 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. STEWART FAMILY PRACTICE, PC NPI is 1184964967. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4500 HUGH HOWELL RD
STE 220
TUCKER, GA
ZIP 30084-723
Phone: (770) 469-0668

The provider's authorized official is Deborah Stewart .
The authorized official title is Practice Administrator and has the following contact phone number (770) 469-0668.

The CLIA number assigned to this NPI record is 11D0992003 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 2/15/2013 and was last updated on 5/14/2013.

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 Medicine041369GEORGIAYes

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
13891011OTHERGEORGIACOVENTRY
2000723863FMEDICAIDGEORGIA
352650560002OTHERGEORGIABLUE CROSS BLUE SHIELD
42094167OTHERGEORGIAUNITED HEALTHCARD
508BBVXFMEDICARE PINGEORGIA
65312576OTHERGEORGIAAETNA
7F92379MEDICARE UPINGEORGIA

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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