United Physician Group LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

UNITED PHYSICIAN GROUP LLC

Practice address

13 Corporate Blvd NE Ste 100
Brookhaven, GA 30329-1905

Phone

(678) 505-9657

NPI assigned

Dec 16, 2018

Last updated

Sep 15, 2020By 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

Mr. Christian Fletcher

Title

Ceo

Phone

(833) 523-0906

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in GA, SC2 enrollments

Enrollment records 2

Locations

Practitioners 27

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.

• Elizabeth A Snoderly, D.O.

  • Pain Medicine (Anesthesiology) Physician
  • Florence, SC
  • NPI 1982652749
  Medicare reassignment Care Compare group NPD
• Christopher Martin Stanley, MD

  • Family Medicine Physician
  • Myrtle Beach, SC
  • NPI 1770809089
  Medicare reassignment Care Compare group NPD
• Christopher Ryan Campbell, PA-C

  • Physician Assistant
  • Columbus, NC
  • NPI 1033515358

  SC

  Medicare reassignment Care Compare group
• Latoya Katrese Buford, DNP, APRN, FNP-BC

  • Family Nurse Practitioner
  • Douglasville, GA
  • NPI 1043738909
  Medicare reassignment NPD
• Lashonda Carter, NP

  • Family Nurse Practitioner
  • Atlanta, GA
  • NPI 1548424864
  Medicare reassignment NPD
• Jelunder A Woodard Clark, MD

  • Family Medicine Physician
  • Morrow, GA
  • NPI 1508881368
  Medicare reassignment NPD
• McFrances Catherine George, FNP-C

  • Family Nurse Practitioner
  • Douglasville, GA
  • NPI 1669926663
  Medicare reassignment NPD
• Vera Mahou, NP

  • Nurse Practitioner
  • Morrow, GA
  • NPI 1598278558
  Medicare reassignment NPD
• Jessica Henrietta Oppong Asumadu, MSN, APRN, FNP-C

  • Family Nurse Practitioner
  • Lawrenceville, GA
  • NPI 1710379730
  Medicare reassignment NPD
• Magdalene Oziwo

  • Family Nurse Practitioner
  • Hampton, GA
  • NPI 1245688613
  Medicare reassignment NPD
• Sybil Rochelle Reddick, MD

  • Physical Medicine & Rehabilitation Physician
  • Rossville, GA
  • NPI 1083693212

  SC

  Medicare reassignment NPD
• Daryl Sherrod, M.D.

  • Family Medicine Physician
  • Snellville, GA
  • NPI 1851354740
  Medicare reassignment NPD

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

{
    "created_epoch": "1544918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600128000000",
    "number": "1922579192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13 CORPORATE BLVD NE STE 100",
            "city": "BROOKHAVEN",
            "state": "GA",
            "postal_code": "303291905",
            "telephone_number": "678-505-9657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13 CORPORATE BLVD NE STE 100",
            "city": "BROOKHAVEN",
            "state": "GA",
            "postal_code": "303291905",
            "telephone_number": "678-505-9657"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1862 Candler Rd",
            "address_purpose": "LOCATION",
            "city": "Decatur",
            "state": "GA",
            "postal_code": "300324163",
            "country_code": "US",
            "telephone_number": "678-672-4093",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8052 Mall Pkwy Ste 103",
            "address_purpose": "LOCATION",
            "city": "Lithonia",
            "state": "GA",
            "postal_code": "300382649",
            "country_code": "US",
            "telephone_number": "404-289-4556",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "116 Commons Blvd Ste 220",
            "address_purpose": "LOCATION",
            "city": "Piedmont",
            "state": "SC",
            "postal_code": "296737766",
            "country_code": "US",
            "telephone_number": "864-671-6492",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8203 Nigels Dr",
            "address_purpose": "LOCATION",
            "city": "Myrtle Beach",
            "state": "SC",
            "postal_code": "295724177",
            "country_code": "US",
            "telephone_number": "864-671-6492",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7201 Brookfield Rd",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "SC",
            "postal_code": "292232215",
            "country_code": "US",
            "telephone_number": "803-736-4050",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3970 Five Forks Trickum Rd SW Ste A",
            "address_purpose": "LOCATION",
            "city": "Lilburn",
            "state": "GA",
            "postal_code": "300472339",
            "country_code": "US",
            "telephone_number": "855-359-8629",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1039 E Freeway Dr SE",
            "address_purpose": "LOCATION",
            "city": "Conyers",
            "state": "GA",
            "postal_code": "300945965",
            "country_code": "US",
            "telephone_number": "770-922-0076",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "52 Bear Dr",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "SC",
            "postal_code": "296054458",
            "country_code": "US",
            "telephone_number": "864-671-6492",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1650 Skylyn Dr Ste 210",
            "address_purpose": "LOCATION",
            "city": "Spartanburg",
            "state": "SC",
            "postal_code": "293071069",
            "country_code": "US",
            "telephone_number": "864-671-6492",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "UNITED PHYSICIAN GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-16",
        "last_updated": "2020-09-15",
        "certification_date": "2020-09-15",
        "status": "A",
        "authorized_official_last_name": "FLETCHER",
        "authorized_official_first_name": "CHRISTIAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "833-523-0906",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "unitedphysiciangroup.com",
            "affiliation": "N",
            "address_1": "13 Corporate Blvd NE Ste 100",
            "city": "Brookhaven",
            "state": "GA",
            "country_code": "US",
            "postal_code": "303291905",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Elizabeth Towles
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• Melody Tran, RBT
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• Sameia Mohammed Udoji, NP
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• Kyle Anthony Ussery
• Valor Behavioral Helath, LLC
• Dawn Vanis
• Mary Katharine Veal, LPC

• Family Medicine Physician in Brookhaven, GA
• Providers in Brookhaven, 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 Sep 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.