Family Practice Clinic PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

20001 Issued in GA

Legal business name

FAMILY PRACTICE CLINIC PC

Practice address

696 Grayson Hwy
Lawrenceville, GA 30046-6372

Phone

(770) 963-0927

Fax

(770) 963-9772

NPI assigned

Oct 2, 2007

Last updated

Dec 2, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Sheila Jeanne Smith, DONPI 1831205897

Title

Owner

Phone

(770) 963-0927

Specialties & licenses 1

Addresses

Other identifiers 2

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.

• Sheila Jeanne Smith, DO

  • Family Medicine Physician
  • Lawrenceville, GA
  • NPI 1831205897
  NPD (past) Authorized official

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

{
    "created_epoch": "1191283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291248000000",
    "number": "1437346509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "696 GRAYSON HWY",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300466372",
            "telephone_number": "770-963-0927",
            "fax_number": "770-963-9772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "696 GRAYSON HWY",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300466372",
            "telephone_number": "770-963-0927",
            "fax_number": "770-963-9772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY PRACTICE CLINIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-02",
        "last_updated": "2010-12-02",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "SHEILA",
        "authorized_official_middle_name": "JEANNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-963-0927",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "20001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00168869A",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000302222A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Family First Home Health LLC
• Family Guidance LLC
• Family Healthcare Clinic, Inc.
• Family Medical Center of NE Georgia,LLC
• Family Medical Clinic of Lawrenceville
• Heather Leigh Farhy, NNP-BC
• Debra Farley, M.A.,CCC-SLP
• Tiesha Sharie Farley, MSW
• Frances Farmer
• Mahnaz Faroqui, M.D.

• Family Medicine Physician in Lawrenceville, GA
• Providers in Lawrenceville, 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 Dec 2, 2010; 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.