Organization Active NPI

Maternal and Family Medicine Ctr

  • Family Medicine Physician
  • Suwanee, GA
National Provider Identifier
1205032836
Registry record updated May 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
GA051967 Issued in GA
Legal business name
MATERNAL AND FAMILY MEDICINE CTR
Practice address
1630 Peachtree Industrial Blvd
Ste a
Suwanee, GA 30024-1839
Phone
(770) 831-9956
Fax
(770) 831-9958
NPI assigned
Jun 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 10, 2012

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

Authorized official

Name
Dr. Benjamin Laremont, M.D.
Title
Owner
Phone
(770) 831-9956

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X GA051967 GA Primary

Addresses

Primary practice location

1630 Peachtree Industrial Blvd
Ste a
Suwanee, GA 30024-1839

Mailing address

1630 Peachtree Industrial Blvd
Ste a
Suwanee, GA 30024-1839
Phone (770) 831-9956

National Provider Directory

National Provider Directory

Locations

1630 Peachtree Industrial Blvd
Unit A
Suwanee, GA 30024
Phone (770) 831-9956

Practitioners & affiliated clinicians

Practitioners 1

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": "1182384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336608000000",
    "number": "1205032836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1630 PEACHTREE INDUSTRIAL BLVD",
            "address_2": "STE A",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300241839",
            "telephone_number": "770-831-9956",
            "fax_number": "770-831-9958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1630 PEACHTREE INDUSTRIAL BLVD",
            "address_2": "STE A",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300241839",
            "telephone_number": "770-831-9956",
            "fax_number": "770-831-9958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATERNAL AND FAMILY MEDICINE CTR",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-21",
        "last_updated": "2012-05-10",
        "status": "A",
        "authorized_official_last_name": "LAREMONT",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-831-9956",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "GA051967",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Suwanee, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2012; 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.