NPIMap

Organization Active NPI

Family and Physical Medicine of South Atlanta

  • Adult Medicine Physician
  • Newnan, GA
National Provider Identifier
1326935198
Registry record updated Jun 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
Legal business name
FAMILY AND PHYSICAL MEDICINE OF SOUTH ATLANTA
Practice address
1635 Highway 34 E Ste D
Newnan, GA 30265-2173
Phone
(470) 627-3053
Fax
(470) 627-3054
NPI assigned
Jun 23, 2025
Last updated
Jun 23, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2025

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

Authorized official

Name
Leah Hartpence, NPNPI 1740862762
Title
Owner
Phone
(678) 378-4986

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
Adult Medicine Physician 207QA0505X NU Primary

Addresses

Primary practice location

1635 Highway 34 E Ste D
Newnan, GA 30265-2173

Mailing address

696 Mount Zion Rd Ste C4
Jonesboro, GA 30236-1583
Phone (470) 627-3053

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251218004516 GA Part B Supplier - Clinic/Group Practice 7214422013 Receives reassigned benefits from 1 practitioner
Practice locations: Newnan, GA

National Provider Directory

National Provider Directory

Locations

1635 Highway 34 E
Ste D
Newnan, GA 30265
Phone (470) 210-8050

Practitioners & affiliated clinicians

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1750636800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750636800000",
    "number": "1326935198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "696 MOUNT ZION RD STE C4",
            "city": "JONESBORO",
            "state": "GA",
            "postal_code": "302361583",
            "telephone_number": "470-627-3053",
            "fax_number": "470-627-3054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1635 HIGHWAY 34 E STE D",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "302652173",
            "telephone_number": "470-627-3053",
            "fax_number": "470-627-3054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY AND PHYSICAL MEDICINE OF SOUTH ATLANTA",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-23",
        "last_updated": "2025-06-23",
        "certification_date": "2025-06-23",
        "status": "A",
        "authorized_official_last_name": "HARTPENCE",
        "authorized_official_first_name": "LEAH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "678-378-4986",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newnan, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2025; 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.