Individual provider Active NPI

Andrea Teodorovic, MD

  • Family Medicine Physician
  • Lawrenceville, GA
National Provider Identifier
1124777461
Registry record updated Sep 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MT224880 Issued in PA
Practice address
761 Walther Rd Ste 200
Lawrenceville, GA 30046-8725
Phone
(678) 888-2273
Fax
(678) 888-2200
NPI assigned
Mar 23, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 10, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MT224880 PA Primary
Family Medicine Physician 207Q00000X 105514 GA

Addresses

Primary practice location

761 Walther Rd Ste 200
Lawrenceville, GA 30046-8725

Mailing address

3905 Johns Creek CT Ste 200
Suwanee, GA 30024-1225
Phone (678) 888-2273

Other practice location 1

2835 Centerville Hwy Ste 200
Snellville, GA 30078-4503
Phone (678) 888-2273

Other practice location 2

3905 Johns Creek Ct Ste 200
Suwanee, GA 30024-1225
Phone (678) 888-2273

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250716001776 GA Practitioner - Family Practice 3779098975 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Comprehensive Primary Care LLCGroup PAC ID 5395098867, 5 clinicians

Practice addresses (Care Compare)

761 Walther Rd
Suite 200
Lawrenceville, GA 30046-8725
Phone (678) 888-2273

Hospital & facility affiliations

  • Northside Hospital Gwinnett Hospital, Lawrenceville, GA, CCN 110087

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
105514GAMDFamily Medicine Physician
MT224880PAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Comprehensive Primary Care, LLC Family Medicine CurrentSince Sep 1, 2025 Accepting new patients

Locations

761 Walther Rd
Ste 200
Lawrenceville, GA 30046
Phone (678) 296-5504

2835 Centerville Hwy
Ste 200
Snellville, GA 30078
Phone (678) 888-2273

3905 Johns Creek Ct
Ste 200
Suwanee, GA 30024
Phone (678) 888-2273

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GHAGBD
  • FHIR API: https://fhir4.healow.com/fhir/r4/GHAGBD/Endpoint/GHAGBD

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1647993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757462400000",
    "number": "1124777461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3905 JOHNS CREEK CT STE 200",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300241225",
            "telephone_number": "678-888-2273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "761 WALTHER RD STE 200",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300468725",
            "telephone_number": "678-888-2273",
            "fax_number": "678-888-2200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2835 Centerville Hwy Ste 200",
            "address_purpose": "LOCATION",
            "city": "Snellville",
            "state": "GA",
            "postal_code": "300784503",
            "country_code": "US",
            "telephone_number": "678-888-2273",
            "fax_number": "678-888-2200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3905 Johns Creek Ct Ste 200",
            "address_purpose": "LOCATION",
            "city": "Suwanee",
            "state": "GA",
            "postal_code": "300241225",
            "country_code": "US",
            "telephone_number": "678-888-2273",
            "fax_number": "678-888-2200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TEODOROVIC",
        "first_name": "ANDREA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-23",
        "last_updated": "2025-09-10",
        "certification_date": "2025-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MT224880",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "105514",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrenceville, GA

Sources for this page

Verify at the official NPI Registry.