Grayson Primary Care LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

GRAYSON PRIMARY CARE LLC

Practice address

2594 Loganville Hwy
Suite 101
Grayson, GA 30017-1617

Phone

(678) 225-4999

Fax

(678) 225-5546

NPI assigned

May 25, 2006

Organization subpart

No

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

Authorized official

Name

Mark Pickett

Title

VP

Phone

(678) 762-5037

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Michele A Aguayo, MD

  • Family Medicine Physician
  • Grayson, GA
  • NPI 1053375311
  NPD (past)
• Pamela Amelia Boyd, MS, APRN, FNP-C

  • Family Nurse Practitioner
  • Grayson, GA
  • NPI 1033467527
  NPD (past)

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

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1417903451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2594 LOGANVILLE HWY",
            "address_2": "SUITE 101",
            "city": "GRAYSON",
            "state": "GA",
            "postal_code": "300171617",
            "telephone_number": "678-225-4999",
            "fax_number": "678-225-5546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2594 LOGANVILLE HWY",
            "address_2": "SUITE 101",
            "city": "GRAYSON",
            "state": "GA",
            "postal_code": "300171617",
            "telephone_number": "678-225-4999",
            "fax_number": "678-225-5546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAYSON PRIMARY CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-25",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "PICKETT",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "678-762-5037"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Grace Pediatric Dental Care LLC
• Simone Althea Graham-Murray, NP
• Shalaya Gray
• Grayson Pediatric Dentistry, P.C.
• Grayson Pediatrics, LLC
• Grayson Smiles & Implants Inc
• Greater Mpower Tutoring
• Gwinnett PT Partners LLC
• Cheri Regina Hall
• Zandria Hamilton

• 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 Apr 20, 2008; 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.