Organization Active NPI

360 Medical Group Georgia Inc

  • Family Medicine Physician
  • Sandy Springs, GA
National Provider Identifier
1609700426
Registry record updated Jul 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
360 MEDICAL GROUP GEORGIA INC
Practice address
8735 Dunwoody PL Ste N
Sandy Springs, GA 30350-2995
Phone
(215) 326-1602
NPI assigned
Jun 9, 2026
Last updated
Jul 17, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2026

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

Authorized official

Name
James Villar
Title
Administrator
Phone
(773) 645-1192

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

8735 Dunwoody PL Ste N
Sandy Springs, GA 30350-2995

Mailing address

8735 Dunwoody PL Ste N
Sandy Springs, GA 30350-2995

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1780963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784246400000",
    "number": "1609700426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8735 DUNWOODY PL STE N",
            "city": "SANDY SPRINGS",
            "state": "GA",
            "postal_code": "303502995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8735 DUNWOODY PL STE N",
            "city": "SANDY SPRINGS",
            "state": "GA",
            "postal_code": "303502995",
            "telephone_number": "215-326-1602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "360 MEDICAL GROUP GEORGIA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-09",
        "last_updated": "2026-07-17",
        "certification_date": "2026-07-17",
        "status": "A",
        "authorized_official_last_name": "VILLAR",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "773-645-1192"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sandy Springs, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2026; 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.