Personic Ga PC

Primary specialty

Wound Care Registered NurseTaxonomy code 163WW0000X

Legal business name

PERSONIC GA PC

Practice address

11555 Medlock Bridge Rd Ste 100
Johns Creek, GA 30097-3200

Phone

(251) 901-3011

Fax

(251) 901-3011

NPI assigned

Oct 3, 2025

Organization subpart

No

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

Authorized official

Name

Syed Naqvi

Title

Owner

Phone

(251) 901-3011

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1759449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759449600000",
    "number": "1467326207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8209",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221832058",
            "telephone_number": "251-901-3011",
            "fax_number": "251-901-3011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11555 MEDLOCK BRIDGE RD STE 100",
            "city": "JOHNS CREEK",
            "state": "GA",
            "postal_code": "300973200",
            "telephone_number": "251-901-3011",
            "fax_number": "251-901-3011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERSONIC GA PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-03",
        "last_updated": "2025-10-03",
        "certification_date": "2025-10-03",
        "status": "A",
        "authorized_official_last_name": "NAQVI",
        "authorized_official_first_name": "SYED",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "251-901-3011"
    },
    "taxonomies": [
        {
            "code": "163WW0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Wound Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Per Badilika
• Mario Perazza, D.C.
• Canelda Tashay Perry, FNP-C
• Personal Recovery Network LLC
• Personal Wellness Inc.
• Sanjit D Peter, M.D.
• Vy Vy Ann Thi Pham
• Huu Phan, PA-C
• Julie Phan
• Sarah Philippe

• Wound Care Registered Nurse in Johns Creek, GA
• Providers in Johns Creek, GA by specialty
• Wound Care Registered Nurse in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2025; 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.