Walnut Creek Family Practice, P.C.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

WALNUT CREEK FAMILY PRACTICE, P.C.

Practice address

4303 Jodeco Rd
McDonough, GA 30253-8297

Phone

(770) 898-7840

Fax

(770) 898-7960

NPI assigned

Aug 9, 2006

Last updated

Mar 20, 2019By 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

Dr. Andrew J Slavico, M.D.NPI 1255486056

Title

Owner

Phone

(770) 898-7840

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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.

• Andrew Joseph Slavico, MD

  • Family Medicine Physician
  • McDonough, GA
  • NPI 1255486056
  Authorized official Same address or phone
• Mark Whitmer, PA-C

  • Medical Physician Assistant
  • McDonough, GA
  • NPI 1831373992
  NPD (past)

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1553040000000",
    "number": "1922019850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 688",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302530688",
            "telephone_number": "770-898-7840",
            "fax_number": "770-898-7960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4303 JODECO RD",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302538297",
            "telephone_number": "770-898-7840",
            "fax_number": "770-898-7960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALNUT CREEK FAMILY PRACTICE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-09",
        "last_updated": "2019-03-20",
        "status": "A",
        "authorized_official_last_name": "SLAVICO",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-898-7840",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Monica Walker, LPN
• Robin Alexander Walker
• Sandra Renee Walker, RN
• Nichole Wall
• Patricia Lynn Wallin
• Zeke Orazi Walsh
• Abigail Lilla Walters
• Sophia Walters, LICENSED OPTICIAN
• Patricia A Waltower, RN MSHS
• Kibibi Wanzu

• Family Medicine Physician in McDonough, GA
• Providers in McDonough, GA by specialty
• Family Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2019; 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.