Organization Active NPI

Family Medicine and Urgent Care, P.C.

  • Family Medicine Physician
  • Cumming, GA
National Provider Identifier
1023368693
Registry record updated Sep 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
055641 Issued in GA
Legal business name
FAMILY MEDICINE AND URGENT CARE, P.C.
Practice address
4415 Front Nine Drive,
Suite 700
Cumming, GA 30041-6018
Phone
(678) 666-4430
Fax
(678) 666-4422
NPI assigned
Sep 11, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Bhaskar Reddy, M.DNPI 1871502492
Title
President
Phone
(678) 666-4430

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 055641 GA Primary

Addresses

Primary practice location

4415 Front Nine Drive,
Suite 700
Cumming, GA 30041-6018

Mailing address

4415 Front Nine Drive,
Suite 700
Cumming, GA 30041-6018
Phone (678) 666-4430

National Provider Directory

National Provider Directory

Locations

4415 Front Nine Dr
Ste 700
Cumming, GA 30041
Phone (614) 905-2700

6002 Highway 53 E
Ste 100
Dawsonville, GA 30534
Phone (706) 265-8002

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1347321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347494400000",
    "number": "1023368693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4415 FRONT NINE DRIVE,",
            "address_2": "SUITE 700",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300416018",
            "telephone_number": "678-666-4430",
            "fax_number": "678-666-4422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4415 FRONT NINE DRIVE,",
            "address_2": "SUITE 700",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300416018",
            "telephone_number": "678-666-4430",
            "fax_number": "678-666-4422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY MEDICINE AND URGENT CARE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-11",
        "last_updated": "2012-09-13",
        "status": "A",
        "authorized_official_last_name": "REDDY",
        "authorized_official_first_name": "BHASKAR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "678-666-4430",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "055641",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cumming, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.