Organization Active NPI

Geneva Family Medicine and Aesthetics, LLC

Doing business as Geneva Primary Care & Med Spa

  • Family Medicine Physician
  • Alpharetta, GA
National Provider Identifier
1154140267
Registry record updated Sep 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
GENEVA FAMILY MEDICINE AND AESTHETICS, LLC
Doing business as
Geneva Primary Care & Med Spa
Practice address
3275 N Point Pkwy Ste 204
Alpharetta, GA 30005-4708
Phone
(706) 495-1928
Fax
(470) 851-3466
NPI assigned
Oct 7, 2024
Organization subpart
Yes
Parent organization
GENEVA FAMILY MEDICINE AND AESTHETICS, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 3, 2025

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

Authorized official

Name
Shivani JerathNPI 1952784274
Title
Medical Director
Phone
(470) 704-9687

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

3275 N Point Pkwy Ste 204
Alpharetta, GA 30005-4708

Mailing address

3275 N Point Pkwy Ste 204
Alpharetta, GA 30005-4708
Phone (470) 704-9687

Other names 1

  • Geneva Primary Care & Med Spa Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250225002911 GA Part B Supplier - Clinic/Group Practice 7517487226 Receives reassigned benefits from 1 practitioner
Practice locations: Alpharetta, GA

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
11D2321160Geneva Family Medicine and Aesthetics3275 North Point Pkwy, Suite 204, Alpharetta, GA 30005Certificate of waiverMar 30, 2027

National Provider Directory

National Provider Directory
Part of
Geneva Family Medicine and Aesthetics LLC

Locations

3275 North Point Pkwy
Ste 204
Alpharetta, GA 30005
Phone (706) 495-1928

3275 North Point Pkwy
Alpharetta, GA 30005

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1728259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756857600000",
    "number": "1154140267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3275 N POINT PKWY STE 204",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300054708",
            "telephone_number": "470-704-9687",
            "fax_number": "866-531-9631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3275 N POINT PKWY STE 204",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300054708",
            "telephone_number": "706-495-1928",
            "fax_number": "470-851-3466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENEVA FAMILY MEDICINE AND AESTHETICS, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GENEVA FAMILY MEDICINE AND AESTHETICS, LLC",
        "enumeration_date": "2024-10-07",
        "last_updated": "2025-09-03",
        "certification_date": "2025-09-03",
        "status": "A",
        "authorized_official_last_name": "JERATH",
        "authorized_official_first_name": "SHIVANI",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "470-704-9687"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Geneva Primary Care & Med Spa",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Alpharetta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 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.

Verify at the official NPI Registry.