Active NPI
Snellville Primary Care
- Family Medicine Physician
- Snellville, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 017573
- Legal business name
- SNELLVILLE PRIMARY CARE
- Practice address
- 1800 Tree LN
Ste 290a
Snellville, GA 30078-2016 - Phone
- (770) 979-1544
- Fax
- (770) 979-5662
- NPI assigned
- May 17, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Sarah Ghayouri, M.D.
- Title
- Doctor - Owner
- Phone
- (770) 979-1544
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 017573 | GA | Primary |
| Internal Medicine Physician | 207R00000X | 039109 | GA |
Addresses
Primary practice location
1800 Tree LN
Ste 290a
Snellville, GA 30078-2016
Mailing address
1800 Tree LN
Ste 290a
Snellville, GA 30078-2016
Phone (770) 979-1544
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00623389A | Medicaid | GA |
National Provider Directory
National Provider DirectoryLocations
748 Old Norcross Rd
Ste 150
Lawrenceville, GA 30046
Phone (770) 338-5070
1800 Tree Ln
Ste 290A
Snellville, GA 30078
Phone (770) 979-1544
1800 Tree Ln
Ste 190A
Snellville, GA 30078
Phone (770) 979-1544
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Lawrenceville, GA
- NPI 1326173436
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179360000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757548800000",
"number": "1104033315",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1800 TREE LN",
"address_2": "STE 290A",
"city": "SNELLVILLE",
"state": "GA",
"postal_code": "300782016",
"telephone_number": "770-979-1544",
"fax_number": "770-979-5662"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1800 TREE LN",
"address_2": "STE 290A",
"city": "SNELLVILLE",
"state": "GA",
"postal_code": "300782016",
"telephone_number": "770-979-1544",
"fax_number": "770-979-5662"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SNELLVILLE PRIMARY CARE",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-17",
"last_updated": "2025-09-11",
"status": "A",
"authorized_official_last_name": "GHAYOURI",
"authorized_official_first_name": "SARAH",
"authorized_official_title_or_position": "DOCTOR - OWNER",
"authorized_official_telephone_number": "770-979-1544",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "GA",
"license": "017573",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "GA",
"license": "039109",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00623389A",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Snellville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.