Personal Family Care, P.C

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

039940 Issued in GA

Legal business name

PERSONAL FAMILY CARE, P.C

Practice address

106 Hospital Dr
Suite 5
Chatsworth, GA 30705-2070

Phone

(706) 517-0533

Fax

(706) 517-3032

NPI assigned

Mar 12, 2007

Organization subpart

No

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

Authorized official

Name

Sanjay K Shukla, M.D.

Title

President

Phone

(706) 517-0533

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1173657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1497887442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 HOSPITAL DR",
            "address_2": "SUITE 5",
            "city": "CHATSWORTH",
            "state": "GA",
            "postal_code": "307052070",
            "telephone_number": "706-517-0533",
            "fax_number": "706-517-3032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 HOSPITAL DR",
            "address_2": "SUITE 5",
            "city": "CHATSWORTH",
            "state": "GA",
            "postal_code": "307052070",
            "telephone_number": "706-517-0533",
            "fax_number": "706-517-3032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERSONAL FAMILY CARE, P.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SHUKLA",
        "authorized_official_first_name": "SANJAY",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "706-517-0533",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "039940",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "039940",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Burgandy Ann Payne
• Alison Peden, NP
• Amanda Brooke Peeples, RN, BSN
• Karen Penland, RN
• Dejah Rena Perry, FNP-BC
• Deidre Pierce, MD
• Brittney Michelle Poff, IBCLC, CBD, CPD
• Sarah J Polow, DO
• James Dale Pressley
• Brittany Prince, FNP-C

• Family Medicine Physician in Chatsworth, GA
• Providers in Chatsworth, 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 Aug 22, 2020; 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.