Medico Familiar Inc.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

047908 Issued in GA

Legal business name

MEDICO FAMILIAR INC.

Practice address

5345 Jimmy Carter Blvd
Suite I
Norcross, GA 30093-1524

Phone

(770) 409-7338

Fax

(770) 409-7339

NPI assigned

Jun 20, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Shah Inayat, MDNPI 1265656789

Title

Owner

Phone

(770) 409-7338

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 1

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

• Shah Inayat, M.D.

  • Internal Medicine Physician
  • Norcross, GA
  • NPI 1265656789
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1213920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213920000000",
    "number": "1154582278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5345 JIMMY CARTER BLVD",
            "address_2": "SUITE I",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300931524",
            "telephone_number": "770-409-7338",
            "fax_number": "770-409-7339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5345 JIMMY CARTER BLVD",
            "address_2": "SUITE I",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300931524",
            "telephone_number": "770-409-7338",
            "fax_number": "770-409-7339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICO FAMILIAR INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-20",
        "last_updated": "2008-06-20",
        "status": "A",
        "authorized_official_last_name": "INAYAT",
        "authorized_official_first_name": "SHAH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-409-7338",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "GA",
            "license": "047908",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Physician in Norcross, GA
• Providers in Norcross, GA by specialty
• General Practice Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 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.