ATLANTA FAMILY PHYSICIANS PC NPI 1194914135

NPI Information

  • NPI: 1194914135
  • Provider Name: ATLANTA FAMILY PHYSICIANS PC
  • Classification: Clinic/Center - 261Q00000X
  • Entity Type: Organization
  • CLIA Number: 11D1083380
  • Address: 3424 FLAT SHOALS RD
    SUITE A
    DECATUR, GA
    ZIP 30034
  • Phone: (404) 968-8269

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NPI Details

ATLANTA FAMILY PHYSICIANS PC is a clinic center in Decatur, GA. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). ATLANTA FAMILY PHYSICIANS PC NPI is 1194914135. The provider is registered as an organization entity type.

The provider's business location address is:

3424 FLAT SHOALS RD
SUITE A
DECATUR, GA
ZIP 30034-525
Phone: (404) 968-8269
Fax: (404) 968-8274

The provider's authorized official is Ahmad K Jingo .
The authorized official title is Provider and has the following contact phone number (404) 968-8269.

The CLIA number assigned to this NPI record is 11D1083380 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 10/16/2007 and was last updated on 12/11/2023.

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
1261Q00000XClinic/Center045842GEORGIAYes

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
1110229622OTHERGEORGIAMEDICARE R/R
2GRP3465OTHERGEORGIAMEDICARE GROUP NO.
311BDQPMOTHERGEORGIAMEDICARE
400804339DMEDICAIDGEORGIA

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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