PIEDMONT ATHENS PRIMARY CARE LLC NPI 1245746783

NPI Information

  • NPI: 1245746783
  • Provider Name: PIEDMONT ATHENS PRIMARY CARE LLC
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • Address: 1199 PRINCE AVE
    ATHENS, GA
    ZIP 30606
  • Phone: (706) 369-5440

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NPI Details

PIEDMONT ATHENS PRIMARY CARE LLC is a family medicine in Athens, 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. PIEDMONT ATHENS PRIMARY CARE LLC NPI is 1245746783. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1199 PRINCE AVE
ATHENS, GA
ZIP 30606-797
Phone: (706) 369-5440
Fax: (706) 369-5490

The provider's authorized official is Christy Aquino .
The authorized official title is Director Of Provider Enrollment and has the following contact phone number (470) 271-3427.

The enumeration date for this NPI number is 12/20/2017 and was last updated on 8/11/2021.

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
1003208591AMEDICAIDGEORGIA

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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