North Atlanta Family Practice, LLC
Organization Active NPI Internal Medicine Physician · Cumming, GA
NPI 1487736138 · NPPES record last updated Dec 4, 2023
Key facts
- NPI
- 1487736138
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Internal Medicine Physician 207R00000X
- Legal business name
- NORTH ATLANTA FAMILY PRACTICE, LLC
- Practice address
- 1400 Northside Forsyth Dr Ste 240
Cumming, GA 30041-6017 - Phone
- (770) 844-0877
- Fax
- (770) 844-0891
- NPI assigned
- Oct 20, 2006
- Organization subpart
- No
Authorized official
- Name
- Sohel Momin, MD
- Title
- Ao
- Phone
- (770) 844-0877
Practitioners 8
-
Sohel Momin, MD
-
Meghan Riley Englishby, FNP-BC
-
Jennifer Stearns Faulkner, FNP-C
-
Briana Ford, DO
-
Jessica Marie Hyland, FNP-C
-
Deborah Tracy McDaniels, NP-C
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 11D1046802 | North Atlanta Family Practice | Certificate of waiver | Oct 18, 2027 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20051123000060 | GA | Part B Supplier - Clinic/Group Practice | 7315967148 |
Receives reassigned benefits from 8 practitioners Practice locations: Cumming, GA |
National Provider Directory
Locations
2320 Atlanta Hwy
Ste 105
Cumming, GA 30040
Phone (678) 473-0715
1505 Northside Blvd
Ste 2600
Cumming, GA 30041
Phone (678) 208-0700
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | |||
| Internal Medicine Physician |
207R00000X | Yes |
Addresses
Primary practice location
1400 Northside Forsyth Dr Ste 240
Cumming, GA 30041-6017
Mailing address
1400 Northside Forsyth Dr Ste 240
Cumming, GA 30041-6017
Phone (770) 844-0877
Other providers in Cumming, GA
- North Atlanta Cardiology PC
- North Atlanta Ear Nose & Throat PC
- North Atlanta Ear, Nose & Throat Surgical Center, LLC
- North Atlanta Eye Surgery Center LLC
- North Atlanta Family Eye Care, Inc.
- North Atlanta Hearing LLC
- North Atlanta Heart & Vascular Centre
- North Atlanta Heart & Vascular Centre
- North Atlanta Heart and Vascular Center PC
- North Fulton Neurology, P.C.
All providers in Cumming, GA · Internal Medicine Physician in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 4, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.