MYFAMILYDOC LLC NPI 1346580982

NPI Information

  • NPI: 1346580982
  • Provider Name: MYFAMILYDOC LLC
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • CLIA Number: 11D2050205
  • Address: 101 ADAMS DR
    DEMOREST, GA
    ZIP 30535
  • Phone: (706) 778-3912

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NPI Details

MYFAMILYDOC LLC is a family medicine in Demorest, 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. MYFAMILYDOC LLC NPI is 1346580982. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

101 ADAMS DR
DEMOREST, GA
ZIP 30535-565
Phone: (706) 778-3912
Fax: (706) 776-6259

The provider's authorized official is Ravin Batuk Talati .
The authorized official title is Director/physician and has the following contact phone number (706) 778-3912.

The CLIA number assigned to this NPI record is 11D2050205 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/19/2013 and was last updated on 8/27/2023.

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
1207Q00000XFamily Medicine67172GEORGIAYes

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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