North Fayette Family Practice

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

33753 Issued in GA

Legal business name

NORTH FAYETTE FAMILY PRACTICE

Practice address

101 Devant St
Suite 902
Fayetteville, GA 30214-2710

Phone

(770) 716-8228

Fax

(770) 716-6588

NPI assigned

Feb 1, 2012

Organization subpart

No

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

Authorized official

Name

Michelle Jones-Martin

Title

Practice Administrator

Phone

(803) 807-9533

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1328054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352073600000",
    "number": "1053683359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 DEVANT ST",
            "address_2": "SUITE 902",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302142710",
            "telephone_number": "770-716-8228",
            "fax_number": "770-716-6588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 DEVANT ST",
            "address_2": "SUITE 902",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302142710",
            "telephone_number": "770-716-8228",
            "fax_number": "770-716-6588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH FAYETTE FAMILY PRACTICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-01",
        "last_updated": "2012-11-05",
        "status": "A",
        "authorized_official_last_name": "JONES-MARTIN",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "803-807-9533"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "33753",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lateefah Lashawn Noel Key, MSW, ST
• Nonia Celsa Solutions LLC
• Rosalyn Carroll Reese Norman, PHARMD
• Eloise T Norris, M.ED./CCC-SLP
• William E Norris, MD
• North Fayette Family Practice
• Quintina North, RBT
• Cameron Northcutt, D.M.D.
• Darryl Eugene Norton, PHD
• Alexis Adaure Nosiri, MS, RDN, LD

• Family Medicine Physician in Fayetteville, GA
• Providers in Fayetteville, GA by specialty
• Family Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 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.