Avid Companies

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

029703 Issued in GA

Legal business name

AVID COMPANIES

Practice address

1655 Lebanon Rd
Suite C
Lawrenceville, GA 30043-5116

Phone

(678) 956-1006

NPI assigned

Jun 20, 2014

Last updated

Jun 20, 2014By 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

Clay Meek

Title

President

Phone

(678) 956-1006

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1403222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403222400000",
    "number": "1114331881",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1655 LEBANON RD",
            "address_2": "SUITE C",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300435116",
            "telephone_number": "678-956-1006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1655 LEBANON RD",
            "address_2": "SUITE C",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300435116",
            "telephone_number": "678-956-1006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVID COMPANIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-20",
        "last_updated": "2014-06-20",
        "status": "A",
        "authorized_official_last_name": "MEEK",
        "authorized_official_first_name": "CLAY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "678-956-1006"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "029703",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "2013010994",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in Lawrenceville, GA
• Providers in Lawrenceville, 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 Jun 20, 2014; 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.