North Chattahoochee Family Physicians, LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

NORTH CHATTAHOOCHEE FAMILY PHYSICIANS, LLC

Practice address

11459 Johns Creek Pkwy
Suite 250
Johns Creek, GA 30097-3515

Phone

(770) 497-1555

Fax

(770) 497-9998

NPI assigned

Mar 19, 2007

Last updated

Apr 18, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Debra Collazo

Title

Credentialing Specialist

Phone

(770) 497-1555

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

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

CLIA laboratory certificates

Locations

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Christian-Jevon Bramwell, MD

  • Family Medicine Physician
  • Johns Creek, GA
  • NPI 1336632918
  Medicare reassignment Care Compare group NPD
• Lisa Lillich Culpepper, MD

  • Family Medicine Physician
  • Johns Creek, GA
  • NPI 1316951999
  Medicare reassignment Care Compare group NPD
• Paul Devere Ellis, MD

  • Family Medicine Physician
  • Johns Creek, GA
  • NPI 1740297811
  Medicare reassignment Care Compare group
• Jennifer Michelle Bastecki, FNP-C

  • Family Nurse Practitioner
  • Duluth, GA
  • NPI 1427644640
  NPD
• Amelia Nocon, PA-C

  • Physician Assistant
  • Duluth, GA
  • NPI 1437805595
  NPD
• Meaghan Annalise Westenhaver, FNP

  • Family Nurse Practitioner
  • Atlanta, GA
  • NPI 1770297509

  Family Medicine

  NPD
• Kelly D Caulley, CNP

  • Family Nurse Practitioner
  • Johns Creek, GA
  • NPI 1992042402
  NPD (past)
• Kelly Macphaul, PA-C

  • Physician Assistant
  • Johns Creek, GA
  • NPI 1588039143
  NPD (past)
• Joy Page, N.P.

  • Family Nurse Practitioner
  • Johns Creek, GA
  • NPI 1093096869
  NPD (past)
• Hanna Lee Park, FNP-C

  • Family Nurse Practitioner
  • Johns Creek, GA
  • NPI 1538553623
  NPD (past)
• Sarah E Riley, PA-C

  • Physician Assistant
  • Marietta, GA
  • NPI 1790338762
  NPD (past)
• Monique Jennifer Stage, FNP-BC

  • Family Nurse Practitioner
  • Johns Creek, GA
  • NPI 1174048474
  NPD (past)

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650240000000",
    "number": "1114041928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11459 JOHNS CREEK PKWY",
            "address_2": "SUITE 250",
            "city": "JOHNS CREEK",
            "state": "GA",
            "postal_code": "300973515",
            "telephone_number": "770-497-1555",
            "fax_number": "770-497-9998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11459 JOHNS CREEK PKWY",
            "address_2": "SUITE 250",
            "city": "JOHNS CREEK",
            "state": "GA",
            "postal_code": "300973515",
            "telephone_number": "770-497-1555",
            "fax_number": "770-497-9998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH CHATTAHOOCHEE FAMILY PHYSICIANS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-19",
        "last_updated": "2022-04-18",
        "certification_date": "2022-04-18",
        "status": "A",
        "authorized_official_last_name": "COLLAZO",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "770-497-1555",
        "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": []
}

• Mary John Ninan, M.D
• Kera Njenga
• Michael Nordsiek, DO
• North Atlanta Mental Health LLC (Ellie Mental Health)
• North Atlanta Plastic Surgery Group LLC
• North Georgia Endocrinology
• Northwest Diagnostic Imaging, Inc (MRI & Imaging of Johns Creek)
• Northwest Diagnostic Imaging, Inc (Duluth Diagnostic Imaging, LLC)
• Northwoods Clinic LLC
• Rachel Norwood

• Family Medicine Physician in Johns Creek, GA
• Providers in Johns Creek, 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 Apr 18, 2022; 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.