Organization Active NPI

North Fulton Primary Care - Windward Parkway, LLC

Doing business as North Fulton Primary Care - Windward Parkway

  • Family Medicine Physician
  • Alpharetta, GA
National Provider Identifier
1366689473
Registry record updated Jun 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
NORTH FULTON PRIMARY CARE - WINDWARD PARKWAY, LLC
Doing business as
North Fulton Primary Care - Windward Parkway
Practice address
4895 Windward Pkwy
Suite 202
Alpharetta, GA 30004-3850
Phone
(770) 475-0888
Fax
(770) 475-3025
NPI assigned
Jan 12, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2016

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

Authorized official

Name
Mr. Wesley O. James
Title
Regional Cfo, Tenet
Phone
(404) 265-5009

Specialties & licenses 1

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

Addresses

Primary practice location

4895 Windward Pkwy
Suite 202
Alpharetta, GA 30004-3850

Mailing address

PO Box 741650
Atlanta, GA 30384-1650
Phone (770) 475-0888

Other identifiers 1

IdentifierTypeStateIssuer
003109454AMedicaidGA

Other names 1

  • North Fulton Primary Care - Windward Parkway Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1231718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466035200000",
    "number": "1366689473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 741650",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303841650",
            "telephone_number": "770-475-0888",
            "fax_number": "770-475-3025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4895 WINDWARD PKWY",
            "address_2": "SUITE 202",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300043850",
            "telephone_number": "770-475-0888",
            "fax_number": "770-475-3025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH FULTON PRIMARY CARE - WINDWARD PARKWAY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-12",
        "last_updated": "2016-06-16",
        "status": "A",
        "authorized_official_last_name": "JAMES",
        "authorized_official_first_name": "WESLEY",
        "authorized_official_middle_name": "O.",
        "authorized_official_title_or_position": "REGIONAL CFO, TENET",
        "authorized_official_telephone_number": "404-265-5009",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003109454A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "North Fulton Primary Care - Windward Parkway",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Alpharetta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2016; 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.