Organization Active NPI

Yourtowndoctor LLC

  • Family Medicine Physician
  • Suwanee, GA
National Provider Identifier
1750041075
Registry record updated Dec 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
YOURTOWNDOCTOR LLC
Doing business as
Katherine Wiegman Sole MBR
Practice address
3665 Swiftwater Park Dr Ste 307
Suwanee, GA 30024-7179
Phone
(478) 361-6055
NPI assigned
Dec 28, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2021

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

Authorized official

Name
Katherine Wiegman, MD
Title
Owner
Phone
(478) 361-6055

Specialties & licenses 1

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

Addresses

Primary practice location

3665 Swiftwater Park Dr Ste 307
Suwanee, GA 30024-7179

Mailing address

2902 Planters Mill Dr
Dacula, GA 30019-1680
Phone (478) 361-6055

Other names 1

  • Katherine Wiegman Sole MBR Doing business as

National Provider Directory

National Provider Directory

Locations

3665 Swiftwater Park Dr
Ste 307
Suwanee, GA 30024
Phone (470) 573-1050

NPI Registry JSON

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

{
    "created_epoch": "1640649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640649600000",
    "number": "1750041075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2902 PLANTERS MILL DR",
            "city": "DACULA",
            "state": "GA",
            "postal_code": "300191680",
            "telephone_number": "478-361-6055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3665 SWIFTWATER PARK DR STE 307",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300247179",
            "telephone_number": "478-361-6055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOURTOWNDOCTOR LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-28",
        "last_updated": "2021-12-28",
        "certification_date": "2021-12-28",
        "status": "A",
        "authorized_official_last_name": "WIEGMAN",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "478-361-6055",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Katherine Wiegman Sole MBR",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Suwanee, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2021; 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.