Organization Active NPI

Family Medical Center of Ga LLC

  • Family Medicine Physician
  • Alpharetta, GA
National Provider Identifier
1528138484
Registry record updated Sep 5, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
057183 Issued in GA
Legal business name
FAMILY MEDICAL CENTER OF GA LLC
Practice address
2650 Holcomb Bridge Rd
Suite 750
Alpharetta, GA 30022-5333
Phone
(770) 643-1710
Fax
(770) 881-7049
NPI assigned
Nov 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2007

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

Authorized official

Name
Dr. A.H. Zehra Quadri, M.D.
Title
Owner
Phone
(770) 643-1710

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 057183 GA Primary

Addresses

Primary practice location

2650 Holcomb Bridge Rd
Suite 750
Alpharetta, GA 30022-5333

Mailing address

2650 Holcomb Bridge Rd
Suite 750
Alpharetta, GA 30022-5333
Phone (770) 643-1710

Other identifiers 1

IdentifierTypeStateIssuer
896161875AMedicaidGA

National Provider Directory

National Provider Directory

Locations

2650 Holcomb Bridge Rd
Ste 750
Alpharetta, GA 30022
Phone (678) 381-1184

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188950400000",
    "number": "1528138484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2650 HOLCOMB BRIDGE RD",
            "address_2": "SUITE 750",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300225333",
            "telephone_number": "770-643-1710",
            "fax_number": "770-881-7049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2650 HOLCOMB BRIDGE RD",
            "address_2": "SUITE 750",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300225333",
            "telephone_number": "770-643-1710",
            "fax_number": "770-881-7049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY MEDICAL CENTER OF GA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-08",
        "last_updated": "2007-09-05",
        "status": "A",
        "authorized_official_last_name": "QUADRI",
        "authorized_official_first_name": "A.H. ZEHRA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-643-1710",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "057183",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "896161875A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Alpharetta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2007; 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.