Georgia Comprehensive Family Clinic and Natural Health

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

206149 Issued in GA

Legal business name

GEORGIA COMPREHENSIVE FAMILY CLINIC AND NATURAL HEALTH

Practice address

1065 Pleasant Hill Rd
Lawrenceville, GA 30044-3331

Phone

(404) 547-2859

NPI assigned

May 7, 2018

Organization subpart

No

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

Authorized official

Name

Naomi Obialor, N.PNPI 1982008587

Title

Registered Agent

Phone

(404) 547-2859

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Centurion Business Concepts Doing business as

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Practitioners 1

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

• Naomi Obialor

  • Family Nurse Practitioner
  • Norcross, GA
  • NPI 1982008587
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1525651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525651200000",
    "number": "1245729136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4346 JONES BRIDGE CIR",
            "city": "PEACHTREE CORNERS",
            "state": "GA",
            "postal_code": "300921007",
            "telephone_number": "404-547-2859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1065 PLEASANT HILL RD",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300443331",
            "telephone_number": "404-547-2859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGIA COMPREHENSIVE FAMILY CLINIC AND NATURAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-07",
        "last_updated": "2018-05-07",
        "status": "A",
        "authorized_official_last_name": "OBIALOR",
        "authorized_official_first_name": "NAOMI",
        "authorized_official_title_or_position": "REGISTERED AGENT",
        "authorized_official_telephone_number": "404-547-2859",
        "authorized_official_credential": "N.P"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "206149",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1982008587",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Centurion Business Concepts",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Florin C Georgescu, M. D.
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• Georgia Comprehensive Family Clinic & Natural Health
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• Georgia CVS Pharmacy, L.L.C.
• Georgia CVS Pharmacy, L.L.C.

• Family Nurse Practitioner in Lawrenceville, GA
• Providers in Lawrenceville, GA by specialty
• Family Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.