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

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.

Title

Owner

Phone

(770) 898-7840

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• 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.