Myfamilydoc LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

67172 Issued in GA

Legal business name

MYFAMILYDOC LLC

Practice address

101 Adams Dr
Demorest, GA 30535-4565

Phone

(706) 778-3912

Fax

(706) 776-6259

NPI assigned

Feb 19, 2013

Organization subpart

No

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

Authorized official

Name

Ravin Batuk Talati, MDNPI 1598920357

Title

Director/Physician

Phone

(706) 778-3912

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Practitioners 6

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

• Ravin Batuk Talati, M.D

  • Family Medicine Physician
  • Demorest, GA
  • NPI 1598920357

  Family Medicine, GA

  Medicare reassignment NPD Authorized official
• Courtney Lee Green, FNP-C

  • Family Nurse Practitioner
  • Demorest, GA
  • NPI 1801454749

  GA

  Medicare reassignment NPD
• Paramvir Singh, M.D.

  • Anesthesiology Physician
  • Demorest, GA
  • NPI 1801102652

  GA

  Medicare reassignment NPD
• Stephanie Evans Wellborn, PA-C

  • Medical Physician Assistant
  • Cumming, GA
  • NPI 1063828408

  GA

  Medicare reassignment
• James G Hamilton Jr., M.D.

  • Family Medicine Physician
  • Demorest, GA
  • NPI 1346222742

  Family Medicine

  NPD (past)
• Pamila Shelton McIntyre, A-GNP-C

  • Nurse Practitioner
  • Clayton, GA
  • NPI 1902541527
  NPD (past)

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

{
    "created_epoch": "1361232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693094400000",
    "number": "1346580982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 ADAMS DR",
            "city": "DEMOREST",
            "state": "GA",
            "postal_code": "305354565",
            "telephone_number": "706-778-3912",
            "fax_number": "706-776-6259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 ADAMS DR",
            "city": "DEMOREST",
            "state": "GA",
            "postal_code": "305354565",
            "telephone_number": "706-778-3912",
            "fax_number": "706-776-6259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MYFAMILYDOC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-19",
        "last_updated": "2023-08-27",
        "certification_date": "2023-08-27",
        "status": "A",
        "authorized_official_last_name": "TALATI",
        "authorized_official_first_name": "RAVIN",
        "authorized_official_middle_name": "BATUK",
        "authorized_official_title_or_position": "DIRECTOR/PHYSICIAN",
        "authorized_official_telephone_number": "706-778-3912",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "67172",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jodi A Mosher, LCSW
• Mountain Internal Medicine
• Mountain Medical Specialists, PC
• MRI & Imaging of Georgia, LLC
• Ms Lillys Singing and Piano Lessons and Speech Therapy, LLC
• Nancy M Watson MD PC
• Wyatt V Nicholson
• Joe Dillard Noggle Jr., M.D.
• North Georgia Physical Therapy, LLC
• Northeast Georgia Home Health III LLC

• Family Medicine Physician in Demorest, GA
• Providers in Demorest, GA by specialty
• Family Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2023; 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.