HILLANDALE PRIMARY CARE NPI 1811422322

NPI Information

  • NPI: 1811422322
  • Provider Name: HILLANDALE PRIMARY CARE
  • Classification: Clinic/Center - 261QP2300X
  • Specialization: Primary Care
  • Entity Type: Organization
  • CLIA Number: 11D2278434
  • Address: 1950 RIVERSIDE PKWY
    SUITE # 100
    LAWRENCEVILLE, GA
    ZIP 30043
  • Phone: (770) 322-9660

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NPI Details

HILLANDALE PRIMARY CARE is a primary care clinic center in Lawrenceville, GA. HILLANDALE PRIMARY CARE NPI is 1811422322. The provider is registered as an organization entity type.

The provider's business location address is:

1950 RIVERSIDE PKWY
SUITE # 100
LAWRENCEVILLE, GA
ZIP 30043-918
Phone: (770) 322-9660

The provider's authorized official is Saira Tariq Niaz .
The authorized official title is Employer and has the following contact phone number (770) 322-9660.

The CLIA number assigned to this NPI record is 11D2278434 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/23/2017 and was last updated on 4/23/2017.

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 CareYes

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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