INTOWN FAMILY PRACTICE & SPORTS MEDICINE PC NPI 1235446394

NPI Information

  • NPI: 1235446394
  • Provider Name: INTOWN FAMILY PRACTICE & SPORTS MEDICINE PC
  • Classification: Clinic/Center - 261QP2300X
  • Specialization: Primary Care
  • Entity Type: Organization
  • Address: 285 BOULEVARD AVE NE
    SUITE 640
    ATLANTA, GA
    ZIP 30312
  • Phone: (404) 577-7800

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NPI Details

INTOWN FAMILY PRACTICE & SPORTS MEDICINE PC is a primary care clinic center in Atlanta, GA. INTOWN FAMILY PRACTICE & SPORTS MEDICINE PC NPI is 1235446394. The provider is registered as an organization entity type.

The provider's business location address is:

285 BOULEVARD AVE NE
SUITE 640
ATLANTA, GA
ZIP 30312-212
Phone: (404) 577-7800
Fax: (404) 577-7810

The provider's authorized official is Lawrence Leo Golusinski .
The authorized official title is Owner and has the following contact phone number (404) 577-7800.

The enumeration date for this NPI number is 9/9/2010 and was last updated on 9/9/2010.

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
1261QP2300XClinic/CenterPrimary Care20330NORTH CAROLINANo
2261QP2300XClinic/CenterPrimary Care038777GEORGIAYes

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
1=========OTHERGEORGIAHUMANA
2=========OTHERGEORGIATRICARE
308BBVZBMEDICARE PINGEORGIA
4F26943MEDICARE UPINGEORGIA
54546534OTHERGEORGIAAETNA
6160928OTHERGEORGIACOVENTRY HEALTHCARE
70191191OTHERGEORGIAUNITED HEALTHCARE
852476640002OTHERGEORGIABCBS OF GA
91013698006OTHERGEORGIACIGNA HEALTHCARE
10776894OTHERGEORGIAFIRST HEALTH

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: 3/30/2025

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