David a Fields MD Family Care PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

048232 Issued in GA

Legal business name

DAVID A FIELDS MD FAMILY CARE PC

Practice address

96 Tara Commons Dr
Loganville, GA 30052-8031

Phone

(770) 554-0399

Fax

(770) 554-0058

NPI assigned

Apr 17, 2006

Organization subpart

No

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

Authorized official

Name

Kelly Gaddis

Title

Office Manager

Phone

(770) 554-0399

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 2

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.

• David Albert Fields, MD

  • Family Medicine Physician
  • Loganville, GA
  • NPI 1013094184
  Medicare reassignment
• Lynsey Rank, FNP

  • Family Medicine Physician
  • Loganville, GA
  • NPI 1962136515
  NPD

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

{
    "created_epoch": "1145232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203033600000",
    "number": "1114981081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 724928",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "311399028",
            "telephone_number": "770-554-0399",
            "fax_number": "770-554-0058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "96 TARA COMMONS DR",
            "city": "LOGANVILLE",
            "state": "GA",
            "postal_code": "300528031",
            "telephone_number": "770-554-0399",
            "fax_number": "770-554-0058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID A FIELDS MD FAMILY CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-17",
        "last_updated": "2008-02-15",
        "status": "A",
        "authorized_official_last_name": "GADDIS",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "770-554-0399"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "048232",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Georgia Cumberbatch
• Kozue Cunningham
• Berooz Daryooni
• Johanne Dastine-Coriolan, NP
• Kyleigh Grace Daugherty, M. ED. CCC-SLP
• Celeste Davis, CPNP
• Gladys Kyrima Davis
• Jennifer Davis, CPNP-PC
• Latoya Denise Davis, LCSW
• Tolulola Dawodu

• Family Medicine Physician in Loganville, GA
• Providers in Loganville, 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 Feb 15, 2008; 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.