Active NPI
Cumming Family Medicine Inc
- Family Medicine Physician
- Cumming, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 032759
- Legal business name
- CUMMING FAMILY MEDICINE INC
- Practice address
- 765 Lanier 400 Pkwy
Cumming, GA 30040-2539 - Phone
- (770) 205-1294
- Fax
- (770) 205-1783
- NPI assigned
- Aug 24, 2006
- 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. Jeevana Krishna, M.D.
- Title
- Owner
- Phone
- (770) 205-1274
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 | 032759 | GA | Primary |
| Internal Medicine Physician | 207R00000X |
Addresses
Primary practice location
765 Lanier 400 Pkwy
Cumming, GA 30040-2539
Mailing address
765 Lanier 400 Pkwy
Cumming, GA 30040-2539
Phone (770) 205-1294
Other practice location 1
133 Prominence Ct Ste 230
Dawsonville, GA 30534-8936
Phone (706) 216-1500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000579961C | Medicaid | GA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 11D2333576 | Cumming Family Medicine | Certificate of waiver | Nov 6, 2027 |
| 11D2333577 | Cumming Family Medicine Inc | Certificate of waiver | Nov 6, 2027 |
National Provider Directory
National Provider DirectoryLocations
2700 Abbey Ct
Ste A
Alpharetta, GA 30004
765 Lanier 400 Pkwy
Ste 100
Cumming, GA 30040
1400 Northside Forsyth Dr
Ste 210
Cumming, GA 30041
Phone (678) 288-5864
765 Lanier 400 Pkwy
Ste 400
Cumming, GA 30040
89 Long Branch Rd
Ste A7
Dahlonega, GA 30533
Phone (706) 867-4900
5614 Thompson Bridge Rd
Murrayville, GA 30564
Practitioners & affiliated clinicians
Practitioners 14
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Cumming, GA
- NPI 1528020575
-
- Internal Medicine Physician
- Dawsonville, GA
- NPI 1700886678
-
- Internal Medicine Physician
- Cumming, GA
- NPI 1134182330
-
- Internal Medicine Physician
- Cumming, GA
- NPI 1265434252
-
- Physician Assistant
- Duluth, GA
- NPI 1730886839
-
- Family Nurse Practitioner
- Conyers, GA
- NPI 1265132286
-
- Family Medicine Physician
- Alpharetta, GA
- NPI 1699969949
-
- Rheumatology Physician
- Cumming, GA
- NPI 1922028034
-
- Family Medicine Physician
- Lawrenceville, GA
- NPI 1922067875
-
- Family Medicine Physician
- Cumming, GA
- NPI 1417916859
-
- Family Medicine Physician
- Cumming, GA
- NPI 1629278866
-
- Family Medicine Physician
- Pottstown, PA
- NPI 1023233145
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156377600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1764720000000",
"number": "1144337023",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "765 LANIER 400 PKWY",
"city": "CUMMING",
"state": "GA",
"postal_code": "300402539",
"telephone_number": "770-205-1294",
"fax_number": "770-205-1783"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "765 LANIER 400 PKWY",
"city": "CUMMING",
"state": "GA",
"postal_code": "300402539",
"telephone_number": "770-205-1294",
"fax_number": "770-205-1783"
}
],
"practiceLocations": [
{
"address_1": "133 Prominence Ct Ste 230",
"address_purpose": "LOCATION",
"city": "Dawsonville",
"state": "GA",
"postal_code": "305348936",
"country_code": "US",
"telephone_number": "706-216-1500",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "CUMMING FAMILY MEDICINE INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-24",
"last_updated": "2025-12-03",
"certification_date": "2025-12-03",
"status": "A",
"authorized_official_last_name": "KRISHNA",
"authorized_official_first_name": "JEEVANA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "770-205-1274",
"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": "032759",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000579961C",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cumming, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2025; 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.