Active NPI
Franklin T Von Hack, MD
- Family Medicine Physician
- Smyrna, GA
National Provider Identifier
1679770887
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 039501
- Practice address
- 696 Windy Hill Rd SE
Smyrna, GA 30080-1857 - Phone
- (404) 321-4692
- Fax
- (404) 321-4366
- NPI assigned
- Jun 29, 2007
- Last updated
- Mar 7, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 039501 | GA | Primary |
Addresses
Primary practice location
696 Windy Hill Rd SE
Smyrna, GA 30080-1857
Mailing address
3369 Buford Hwy NE
Suite 810
Brookhaven, GA 30329-3722
Phone (404) 321-4692
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 039501 | Other | GA | GA LICENSE MEDICAL BD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 039501 | GA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clinica Union, Inc | Family Medicine | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Family Medicine Physician
- Smyrna, GA
- NPI 1235505835
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1183075200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1679770887",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3369 BUFORD HWY NE",
"address_2": "SUITE 810",
"city": "BROOKHAVEN",
"state": "GA",
"postal_code": "303293722",
"telephone_number": "404-321-4692",
"fax_number": "404-321-4366"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "696 WINDY HILL RD SE",
"city": "SMYRNA",
"state": "GA",
"postal_code": "300801857",
"telephone_number": "404-321-4692",
"fax_number": "404-321-4366"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VON HACK",
"first_name": "FRANKLIN",
"middle_name": "T",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-06-29",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "GA",
"license": "039501",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GA LICENSE MEDICAL BD",
"identifier": "039501",
"state": "GA"
}
],
"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 Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.