Livi Family Medicine LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

LIVI FAMILY MEDICINE LLC

Practice address

115 Grayson Industrial Pkwy Ste 12
Grayson, GA 30017-4139

Phone

(706) 305-6911

Fax

(770) 302-0482

NPI assigned

Jul 20, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Uzoma Ndukwe, DONPI 1427302215

Title

Physician/Co-Owner

Phone

(706) 612-0424

Specialties & licenses 1

Addresses

Other names 1

• Railyard Family Medicine LLC Former legal business name

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

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/22033/brand/1/csg/1/fhir/r4

Practitioners 2

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

• Uzoma Ndukwe, D.O.

  • Family Medicine Physician
  • Grayson, GA
  • NPI 1427302215
  Medicare reassignment Care Compare group NPD Authorized official
• Ndubuisi Apu Ndukwe, M.D

  • Family Medicine Physician
  • Dacula, GA
  • NPI 1215268040
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1595203200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1622160000000",
    "number": "1407464084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 250",
            "city": "GRAYSON",
            "state": "GA",
            "postal_code": "300170005",
            "telephone_number": "770-305-6911",
            "fax_number": "770-302-0482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 GRAYSON INDUSTRIAL PKWY STE 12",
            "city": "GRAYSON",
            "state": "GA",
            "postal_code": "300174139",
            "telephone_number": "706-305-6911",
            "fax_number": "770-302-0482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVI FAMILY MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-20",
        "last_updated": "2021-05-28",
        "certification_date": "2021-05-28",
        "status": "A",
        "authorized_official_last_name": "NDUKWE",
        "authorized_official_first_name": "UZOMA",
        "authorized_official_title_or_position": "PHYSICIAN/CO-OWNER",
        "authorized_official_telephone_number": "706-612-0424",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Railyard Family Medicine LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Family Medicine Physician in Grayson, GA
• Providers in Grayson, 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 May 28, 2021; 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.