Lake Acworth Family Practice

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

RN16397 Issued in GA

Legal business name

LAKE ACWORTH FAMILY PRACTICE

Practice address

5655 Lake Acworth Dr NW Ste 120
Acworth, GA 30101-7324

Phone

(770) 702-8408

NPI assigned

Jul 30, 2014

Organization subpart

No

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

Authorized official

Name

Naomi W MuhiaNPI 1831331297

Title

Nurse Practitioner

Phone

(404) 353-6317

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 2

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

• Naomi Wairimu Muhia, FNP

  • Family Nurse Practitioner
  • Acworth, GA
  • NPI 1831331297
  Medicare reassignment NPD Authorized official
• Adeshola Kazeem Adewunmi, MD

  • Physical Medicine & Rehabilitation Physician
  • Marietta, GA
  • NPI 1285819821
  Medicare reassignment NPD

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

{
    "created_epoch": "1406678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426723200000",
    "number": "1386052736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5655 LAKE ACWORTH DR NW STE 120",
            "city": "ACWORTH",
            "state": "GA",
            "postal_code": "301017324",
            "telephone_number": "770-702-8408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5655 LAKE ACWORTH DR NW STE 120",
            "city": "ACWORTH",
            "state": "GA",
            "postal_code": "301017324",
            "telephone_number": "770-702-8408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE ACWORTH FAMILY PRACTICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-30",
        "last_updated": "2015-03-19",
        "status": "A",
        "authorized_official_last_name": "MUHIA",
        "authorized_official_first_name": "NAOMI",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "404-353-6317"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "GA",
            "license": "RN16397",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lacey Drug Company Inc
• Lacey Drug Company Inc
• Lacey Drug Company, Inc
• Julia Ladd
• Michelle Laden
• Lake City Chiropractic Center
• Lake Pointe Chiropractic LLC
• Lake Pointe Dental Inc
• Lala'S Transportation
• Megan Elizabeth Lane, MS, CF-SLP

• Primary Care Clinic/Center in Acworth, GA
• Providers in Acworth, GA by specialty
• Primary Care Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.