JOHNS CREEK FAMILY MEDICINE LLC – NPI #1720272412
Family Medicine

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.

JOHNS CREEK FAMILY MEDICINE LLC is a provider located in SUWANEE, GA. NPPES has assigned the NPI number 1720272412 to JOHNS CREEK FAMILY MEDICINE LLC on September 05, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

The NPI profile was previously updated about 14 years ago on Oct 15, 2012. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for JOHNS CREEK FAMILY MEDICINE LLC below.

NPI Profile for
JOHNS CREEK FAMILY MEDICINE LLC

NPI Number
1720272412
Enumeration Date

(about 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
JOHNS CREEK FAMILY MEDICINE LLC
Primary location
4365 JOHNS CREEK PKWY
SUITE 430
SUWANEE, GA 30024-6089
Phone: (678) 474-0040 Fax: (678) 474-0095
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
JAMES ROTH
MEMBER
Phone: (678) 474-0040
Updated
Identifiers

Identifiers for JOHNS CREEK FAMILY MEDICINE LLC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERMEDICARE GROUP NUMBERGRP4691
OTHERRAILROAD MEDICARE GROUPDB1574
MEDICAIDGA000971308A
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207Q00000X
- Family Medicine (Primary)
GA 046525

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.