NPIMap

Organization Active NPI

Grupo Medico de Georgia, LLC

  • Family Medicine Physician
  • Smyrna, GA
National Provider Identifier
1538022975
Registry record updated Dec 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
GRUPO MEDICO DE GEORGIA, LLC
Practice address
2721 S Cobb Dr SE
Smyrna, GA 30080-3240
Phone
(770) 444-9494
Fax
(770) 436-4656
NPI assigned
Dec 3, 2025
Organization subpart
Yes
Parent organization
GRUPO MEDICO DE GEORGIA, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 3, 2025

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

Authorized official

Name
Eddy Lajara
Title
Manager
Phone
(770) 559-3555

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

2721 S Cobb Dr SE
Smyrna, GA 30080-3240

Mailing address

4225 S Lee St Ste B
Buford, GA 30518-3872
Phone (770) 559-3555

National Provider Directory

National Provider Directory
Tax ID family
Grupo Medico de Georgia LLC4 organizations share this tax ID, including this one
Part of
Grupo Medico de Georgia LLC

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1764720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764720000000",
    "number": "1538022975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4225 S LEE ST STE B",
            "city": "BUFORD",
            "state": "GA",
            "postal_code": "305183872",
            "telephone_number": "770-559-3555",
            "fax_number": "678-730-7777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2721 S COBB DR SE",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300803240",
            "telephone_number": "770-444-9494",
            "fax_number": "770-436-4656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRUPO MEDICO DE GEORGIA, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GRUPO MEDICO DE GEORGIA, LLC",
        "enumeration_date": "2025-12-03",
        "last_updated": "2025-12-03",
        "certification_date": "2025-12-03",
        "status": "A",
        "authorized_official_last_name": "LAJARA",
        "authorized_official_first_name": "EDDY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "770-559-3555"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Smyrna, GA

Sources for this page

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