Johns Creek Primary Care Physicians LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

043644 Issued in GA

Legal business name

JOHNS CREEK PRIMARY CARE PHYSICIANS LLC

Practice address

4365 Johns Creek Parkway
Suite 400
Suwanee, GA 30024

Phone

(678) 957-1910

Fax

(678) 957-1911

NPI assigned

Jan 31, 2007

Last updated

Jul 20, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Lee Edward Herman, MDNPI 1184779027

Title

LH Member

Phone

(678) 957-1910

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/FFHGAA

Practitioners 8

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.

• Lee Edward Herman, MD

  • Internal Medicine Physician
  • Suwanee, GA
  • NPI 1184779027
  Medicare reassignment Care Compare group NPD Authorized official
• Amit Narayan, M.D.

  • Internal Medicine Physician
  • Atlanta, GA
  • NPI 1053774141
  Medicare reassignment Care Compare group NPD
• Nathaniel Chishinga, MD

  • Internal Medicine Physician
  • Jasper, GA
  • NPI 1376129304
  Medicare reassignment Care Compare group
• Faustine Luu Dinh, D.O.

  • Internal Medicine Physician
  • Braselton, GA
  • NPI 1922411537
  Medicare reassignment Care Compare group
• Margaret Adams, APRN

  • Family Nurse Practitioner
  • Suwanee, GA
  • NPI 1578920336
  Medicare reassignment NPD
• Candace McNair, NP-C

  • Family Nurse Practitioner
  • Atlanta, GA
  • NPI 1043840697
  Medicare reassignment NPD
• Pamela P Watson, NP C

  • Family Nurse Practitioner
  • Suwanee, GA
  • NPI 1225183163
  Medicare reassignment NPD
• Patrice F Little, MSN, FNP-BC

  • Family Nurse Practitioner
  • Suwanee, GA
  • NPI 1730598533
  Medicare reassignment

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437350400000",
    "number": "1790822583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4365 JOHNS CREEK PARKWAY",
            "address_2": "SUITE 400",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "30024",
            "telephone_number": "678-957-1910",
            "fax_number": "678-957-1911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4365 JOHNS CREEK PARKWAY",
            "address_2": "SUITE 400",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "30024",
            "telephone_number": "678-957-1910",
            "fax_number": "678-957-1911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHNS CREEK PRIMARY CARE PHYSICIANS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-31",
        "last_updated": "2015-07-20",
        "status": "A",
        "authorized_official_last_name": "HERMAN",
        "authorized_official_first_name": "LEE",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "LH MEMBER",
        "authorized_official_telephone_number": "678-957-1910",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "043644",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "GRP6354",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Johns Creek Family Medicine LLC
• Johns Creek Internal Medicine PC
• Johns Creek Pain Relief & Wellness, LLC
• Johns Creek Pediatrics
• Johns Creek Physical Therapy
• Johns Creek Procedure Center LLC
• Johns Creek Surgery PC
• Johns Creek Therapy Center, LLC
• Vickie Johns, RPH
• Charles Johnson

• Internal Medicine Physician in Suwanee, GA
• Providers in Suwanee, GA by specialty
• Internal Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2015; 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.

Verify at the official NPI Registry.