Organization Active NPI

Mountain View Primary Care Corporation

  • Family Medicine Physician
  • Chatsworth, GA
National Provider Identifier
1063553733
Registry record updated Oct 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
MOUNTAIN VIEW PRIMARY CARE CORPORATION
Practice address
320 W Market St
Chatsworth, GA 30705-2843
Phone
(706) 695-0466
Fax
(706) 695-0741
NPI assigned
Feb 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2025

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

Authorized official

Name
Mrs. Patricia Stevenson
Title
Office Manager
Phone
(706) 695-0466

Specialties & licenses 1

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

Addresses

Primary practice location

320 W Market St
Chatsworth, GA 30705-2843

Mailing address

320 W Market St
Chatsworth, GA 30705-2843
Phone (706) 695-0466

Other names 2

  • L Oneal Sutter Family Practice Clinic, Inc. Former legal business name
  • Sutter Family Practice, Inc. Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040505000830 GA Part B Supplier - Clinic/Group Practice 1951399112 Receives reassigned benefits from 1 practitioner
Practice locations: Chatsworth, GA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
11D0992298Mountain View Primary Care Corporation320 Market Street, Chatsworth, GA 30705Certificate of waiverApr 20, 2027

National Provider Directory

National Provider Directory

Locations

320 W Market St
Chatsworth, GA 30705
Phone (706) 695-0466

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": "1170892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759363200000",
    "number": "1063553733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 W MARKET ST",
            "city": "CHATSWORTH",
            "state": "GA",
            "postal_code": "307052843",
            "telephone_number": "706-695-0466",
            "fax_number": "706-695-0741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 W MARKET ST",
            "city": "CHATSWORTH",
            "state": "GA",
            "postal_code": "307052843",
            "telephone_number": "706-695-0466",
            "fax_number": "706-695-0741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAIN VIEW PRIMARY CARE CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-08",
        "last_updated": "2025-10-02",
        "certification_date": "2025-10-02",
        "status": "A",
        "authorized_official_last_name": "STEVENSON",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "706-695-0466",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "L Oneal Sutter Family Practice Clinic, Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "L Oneal Sutter Family Practice Clinic, Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Sutter Family Practice, Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Chatsworth, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.