Active NPI
S4 Smart Family Care LLC
- Family Medicine Physician
- Atlanta, GA
National Provider Identifier
1720895923
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- S4 SMART FAMILY CARE LLC
- Practice address
- 2840 Northeast Expy NE Ste 116
Atlanta, GA 30345-4225 - Phone
- (404) 929-1402
- Fax
- (404) 929-1406
- NPI assigned
- Dec 12, 2024
- Last updated
- Mar 24, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Shahnawaz Bhimani
- Title
- Owner
- Phone
- (404) 201-0125
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | NU | Primary |
Addresses
Primary practice location
2840 Northeast Expy NE Ste 116
Atlanta, GA 30345-4225
Mailing address
2840 Northeast Expy NE Ste 116
Atlanta, GA 30345-4225
Phone (404) 929-1402
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 11D2338138 | S4 Smart Family Care | Certificate of waiver | Feb 4, 2028 |
National Provider Directory
National Provider DirectoryLocations
2840 Ne
Ste 116
Atlanta, GA 30345
Phone (404) 201-0125
Practitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Nurse Practitioner
- Lawrenceville, GA
- NPI 1174983696
-
- General Practice Physician
- Decatur, GA
- NPI 1124013495
-
- Family Medicine Physician
- Augusta, GA
- NPI 1851687990
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1733961600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1742774400000",
"number": "1720895923",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2840 NORTHEAST EXPY NE STE 116",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303454225",
"telephone_number": "404-929-1402",
"fax_number": "404-929-1406"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2840 NORTHEAST EXPY NE STE 116",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303454225",
"telephone_number": "404-929-1402",
"fax_number": "404-929-1406"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "S4 SMART FAMILY CARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-12-12",
"last_updated": "2025-03-24",
"certification_date": "2025-03-24",
"status": "A",
"authorized_official_last_name": "BHIMANI",
"authorized_official_first_name": "SHAHNAWAZ",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "404-201-0125"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.