FCN Medical Group

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

FCN MEDICAL GROUP

Practice address

303 Perimeter Ctr N
Ste. 300
Atlanta, GA 30346-3402

Phone

(678) 534-3477

NPI assigned

Aug 24, 2015

Organization subpart

No

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

Authorized official

Name

Mr. John Jeter

Title

Owner

Phone

(678) 534-3477

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1440374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1440374400000",
    "number": "1770950818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 PERIMETER CTR N",
            "address_2": "STE. 300",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303463402",
            "telephone_number": "678-534-3477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 PERIMETER CTR N",
            "address_2": "STE. 300",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303463402",
            "telephone_number": "678-534-3477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FCN MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-24",
        "last_updated": "2015-08-24",
        "status": "A",
        "authorized_official_last_name": "JETER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "678-534-3477",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amara Zulfiqar Fazal, MD
• Abia Fazili
• Irtiqa Farooq Fazili, MD
• Tom M Fazlollah, CRNA
• FC Midlands N Charleston, LLC
• FDH - Atlanta LLC
• Frank Feagin
• Lavesta Monique Feagin, BCBA
• Kevin Patrick Fealy III
• Bernard Fears, RPH

• Primary Care Clinic/Center in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Primary Care Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2015; 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.