Duluth Family Medicine

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

DULUTH FAMILY MEDICINE

Practice address

3855 Pleasant Hill Rd
Ste 100
Duluth, GA 30096

Phone

(770) 495-0155

Fax

(770) 813-1298

NPI assigned

May 15, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Andrea B Mobley, MA

Title

Office MGR

Phone

(770) 495-0155

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/3469/brand/1/csg/1/fhir/r4

Practitioners 2

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

• Susan Elizabeth Dexter, NURSE PRACTITIONER

  • Family Nurse Practitioner
  • Monroe, GA
  • NPI 1629014030
  NPD (past)
• Susan J Johnson, PA-C

  • Physician Assistant
  • Duluth, GA
  • NPI 1417045782
  NPD (past)

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291593600000",
    "number": "1659587947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3855 PLEASANT HILL RD",
            "address_2": "STE 100",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "30096",
            "telephone_number": "770-495-0155",
            "fax_number": "770-813-1298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3855 PLEASANT HILL RD",
            "address_2": "STE 100",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "30096",
            "telephone_number": "770-495-0155",
            "fax_number": "770-813-1298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DULUTH FAMILY MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-15",
        "last_updated": "2010-12-06",
        "status": "A",
        "authorized_official_last_name": "MOBLEY",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OFFICE MGR",
        "authorized_official_telephone_number": "770-495-0155",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MA"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LEGACY",
            "identifier": "GRP7077",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Duluth Dental Club, PC
• Duluth Dental Group
• Duluth Dental Services PC
• Duluth Dental Smiles LLC
• Duluth Family Dentistry
• Duluth Family Practice LLC
• Duluth Medical Supplies LLC
• Duluth Medicine
• Duluth Pediatric Dentistry PC
• Duluth Pharmacy LLC (Duluth pharmacy)

• Family Medicine Physician in Duluth, GA
• Providers in Duluth, 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 Dec 6, 2010; 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.