Organization Active NPI

Snapfinger Woods Family Practice Group

  • Family Medicine Physician
  • Decatur, GA
National Provider Identifier
1053584722
Registry record updated Dec 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
025306 Issued in GA
Legal business name
SNAPFINGER WOODS FAMILY PRACTICE GROUP
Practice address
5071 Snapfinger Woods Dr
Decatur, GA 30035-4019
Phone
(770) 981-0600
Fax
(770) 981-0677
NPI assigned
Apr 2, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2022

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

Authorized official

Name
Dr. Maria Latanya WalkerNPI 1548213366
Title
Ceo
Phone
(770) 981-0600

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 025306 GA Primary

Addresses

Primary practice location

5071 Snapfinger Woods Dr
Decatur, GA 30035-4019

Mailing address

5071 Snapfinger Woods Dr
Decatur, GA 30035-4019
Phone (770) 981-0600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040924000447 GA Part B Supplier - Clinic/Group Practice 5092783266 Receives reassigned benefits from 1 practitioner
Practice locations: Atlanta, GA; Decatur, GA

National Provider Directory

National Provider Directory

Locations

5071 Snapfinger Woods Dr
Ste 2
Decatur, GA 30035

5071 Snapfinger Woods Dr
Decatur, GA 30035
Phone (770) 981-0600

5071 Snapfinger Woods Dr
#108
Decatur, GA 30035

Practitioners & affiliated clinicians

Practitioners 1

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": "1207094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672272000000",
    "number": "1053584722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5071 SNAPFINGER WOODS DR",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300354019",
            "telephone_number": "770-981-0600",
            "fax_number": "770-981-0677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5071 SNAPFINGER WOODS DR",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300354019",
            "telephone_number": "770-981-0600",
            "fax_number": "770-981-0677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SNAPFINGER WOODS FAMILY PRACTICE GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-02",
        "last_updated": "2022-12-29",
        "certification_date": "2022-12-29",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "LATANYA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "770-981-0600",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "025306",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.