Organization Active NPI

Buford Family Practice and Urgent Care Center, P.C

  • Primary Care Clinic/Center
  • Buford, GA
National Provider Identifier
1386855740
Registry record updated Jan 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
057551 Issued in GA
Legal business name
BUFORD FAMILY PRACTICE AND URGENT CARE CENTER, P.C
Practice address
2805 Hamilton Mill Rd
Buford, GA 30519-4110
Phone
(678) 541-0588
Fax
(678) 541-0610
NPI assigned
May 25, 2007
Last updated
Jan 30, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2019

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

Authorized official

Name
Dr. Alexander Osowa, M.DNPI 1316910755
Title
Physician Owner
Phone
(678) 541-0588

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
Primary Care Clinic/Center 261QP2300X 057551 GA Primary

Addresses

Primary practice location

2805 Hamilton Mill Rd
Buford, GA 30519-4110

Mailing address

2805 Hamilton Mill Rd
Buford, GA 30519-4110
Phone (678) 541-0588

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130314000374 GA Part B Supplier - Clinic/Group Practice 1759526098 Receives reassigned benefits from 1 practitioner
Practice locations: Buford, GA

National Provider Directory

National Provider Directory

Locations

3331 Hamilton Mill Rd
Ste 1102
Buford, GA 30519
Phone (678) 541-0588

Practitioners & affiliated clinicians

Practitioners 1

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": "1180051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548806400000",
    "number": "1386855740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2805 HAMILTON MILL RD",
            "city": "BUFORD",
            "state": "GA",
            "postal_code": "305194110",
            "telephone_number": "678-541-0588",
            "fax_number": "678-541-0610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2805 HAMILTON MILL RD",
            "city": "BUFORD",
            "state": "GA",
            "postal_code": "305194110",
            "telephone_number": "678-541-0588",
            "fax_number": "678-541-0610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUFORD FAMILY PRACTICE AND URGENT CARE CENTER, P.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-25",
        "last_updated": "2019-01-30",
        "status": "A",
        "authorized_official_last_name": "OSOWA",
        "authorized_official_first_name": "ALEXANDER",
        "authorized_official_title_or_position": "PHYSICIAN OWNER",
        "authorized_official_telephone_number": "678-541-0588",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "GA",
            "license": "057551",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buford, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2019; 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.