Swift Family Practice

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

63084 Issued in GA

Legal business name

SWIFT FAMILY PRACTICE

Practice address

5185 Old National Hwy
College Park, GA 30349-3244

Phone

(404) 763-9300

NPI assigned

Apr 7, 2016

Organization subpart

No

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

Authorized official

Name

Ms. Angela Copeland

Title

Credentialing Coordinator

Phone

(770) 778-2994

Specialties & licenses 3

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1459987200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459987200000",
    "number": "1457715229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5185 OLD NATIONAL HWY",
            "city": "COLLEGE PARK",
            "state": "GA",
            "postal_code": "303493244",
            "telephone_number": "404-763-9300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5185 OLD NATIONAL HWY",
            "city": "COLLEGE PARK",
            "state": "GA",
            "postal_code": "303493244",
            "telephone_number": "404-763-9300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SWIFT FAMILY PRACTICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-07",
        "last_updated": "2016-04-07",
        "status": "A",
        "authorized_official_last_name": "COPELAND",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "CREDENTIALING COORDINATOR",
        "authorized_official_telephone_number": "770-778-2994",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207KA0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Allergy & Immunology, Allergy",
            "state": "GA",
            "license": "63084",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "63084",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "63084",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1962667915",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Suddenly Professional Counseling & Consulting, P.C.
• Elizabeth P Sumo, EA
• Supported Hands Transportation
• Sharon Jordan Suso
• Riley R Swanson, DDS
• Syntech Medical
• Antonia Lamoi Taylor, MA-LAPC
• Tender Loving Care Health Care Services of Georgia, L.L.C.
• Nelson Tenebe
• The Bridge Organization Inc

• Family Medicine Physician in College Park, GA
• Providers in College Park, 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 7, 2016; 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.