EAGLES LANDING MEDICAL CENTER NPI 1598120271

NPI Information

  • NPI: 1598120271
  • Provider Name: EAGLES LANDING MEDICAL CENTER
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • Doing Business As: MULTI SPECIALIST PRACTICE
  • Address: 1215 EAGLES LANDING PKWY STE 205
    STOCKBRIDGE, GA
    ZIP 30281
  • Phone: (770) 389-9116

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NPI Details

EAGLES LANDING MEDICAL CENTER is a family medicine in Stockbridge, 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. EAGLES LANDING MEDICAL CENTER NPI is 1598120271. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Multi Specialist Practice.

The provider's business location address is:

1215 EAGLES LANDING PKWY STE 205
STOCKBRIDGE, GA
ZIP 30281-280
Phone: (770) 389-9116

The provider's authorized official is Sharon Selena Duncan .
The authorized official title is Credentialing Specialist and has the following contact phone number (678) 656-7203.

The enumeration date for this NPI number is 12/22/2015 and was last updated on 1/5/2016.

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
1207N00000XDermatology52394GEORGIANo
2207Q00000XFamily MedicineGEORGIAYes

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
11710213947MEDICARE PINGEORGIA
21144255399OTHERGEORGIANPI NUMBER

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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