Northcrest Family Medicine Llc

LBN: Northcrest Family Medicine Llc
Northcrest Family Medicine Llc is an health care organization with primary practice located at 7768 Cumming Hwy Suite 300, Canton GA 30114-9314. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Northcrest Family Medicine Llc can be contacted via phone (770) 720-2113, or through Jackson, John Richard via phone (770) 655-1408.

Contact Information

Primary practice address
7768 Cumming Hwy Suite 300 Canton GA 30114-9314
Phone: (770) 720-2113
Fax: (770) 704-7365
Website:
Map and Directions
Authorized official contact:
Name: Jackson, John Richard Doctor of Medicine (MD)
Phone: (770) 655-1408

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 056102 Georgia

Profile Details

NPI number 1255465217
LBN Legal business name Northcrest Family Medicine Llc
DBA Doing business as
Authorized official Jackson, John Richard Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 14th, 2007
Last updated Mar 22nd, 2013 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1255465217 NPPES
Georgia MEDICAID 978224987A

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