Personal Primary Care of Georgia

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

Legal business name

PERSONAL PRIMARY CARE OF GEORGIA

Practice address

1295 Chippewa Oak Dr
Dacula, GA 30019-1288

Phone

(678) 315-9943

NPI assigned

Jan 29, 2021

Organization subpart

No

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

Authorized official

Name

Kimberly Farr, NURSE PRACTITIONERNPI 1154865814

Title

Provider

Phone

(678) 315-9943

Specialties & licenses 1

Addresses

Practitioners 1

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

• Kimberly Farr, NP

  • Adult Health Nurse Practitioner
  • Dacula, GA
  • NPI 1154865814
  NPD Authorized official

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

{
    "created_epoch": "1611878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611878400000",
    "number": "1184215428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1295 CHIPPEWA OAK DR",
            "city": "DACULA",
            "state": "GA",
            "postal_code": "300191288",
            "telephone_number": "678-315-9943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1295 CHIPPEWA OAK DR",
            "city": "DACULA",
            "state": "GA",
            "postal_code": "300191288",
            "telephone_number": "678-315-9943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERSONAL PRIMARY CARE OF GEORGIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-29",
        "last_updated": "2021-01-29",
        "certification_date": "2021-01-29",
        "status": "A",
        "authorized_official_last_name": "FARR",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "678-315-9943",
        "authorized_official_credential": "NURSE PRACTITIONER"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robin Perez
• Stephanie Perez, M.S., CCC-SLP
• Tracy Alexander Perez, M.S., CCC-SLP
• Perfect Home Care, LLC
• Coral Elizabeth Quinn Perniciaro, D.P.T.
• Marissa Peterson, PHARMD
• Megan J Pettigrew, PT
• Eugene David Pfaff, ATC
• Latorie Michelle Phillips, RN, BSN
• Physio

• Primary Care Nurse Practitioner in Dacula, GA
• Providers in Dacula, GA by specialty
• Primary Care Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.