Organization Active NPI

Prime Family Medicine and Wellness Center LLC

  • Family Medicine Physician
  • Suwanee, GA
National Provider Identifier
1922985621
Registry record updated Aug 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
PRIME FAMILY MEDICINE AND WELLNESS CENTER LLC
Practice address
2009 Lawrenceville Suwanee Rd Ste 100
Suwanee, GA 30024-2612
Phone
(770) 255-4575
Fax
(770) 274-6332
NPI assigned
Aug 18, 2025
Last updated
Aug 18, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2025

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

Authorized official

Name
Karen Schneider, RNNPI 1861366395
Title
Registered Nurse
Phone
(678) 887-0565

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X Primary

Addresses

Primary practice location

2009 Lawrenceville Suwanee Rd Ste 100
Suwanee, GA 30024-2612

Mailing address

2009 Lawrenceville Suwanee Rd Ste 100
Suwanee, GA 30024-2612
Phone (770) 255-4575

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
11D2333764Prime Family Medicine and Wellness Center, LLC2009 Lawrenceville-Suwanee Road, Suite 100, Suwanee, GA 30024Certificate of waiverNov 9, 2027

National Provider Directory

National Provider Directory

Locations

2009 Lawrenceville Suwanee Rd
Ste 100
Suwanee, GA 30024
Phone (770) 678-7024

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1755475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755475200000",
    "number": "1922985621",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2009 LAWRENCEVILLE SUWANEE RD STE 100",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300242612",
            "telephone_number": "770-255-4575",
            "fax_number": "770-274-6332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2009 LAWRENCEVILLE SUWANEE RD STE 100",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300242612",
            "telephone_number": "770-255-4575",
            "fax_number": "770-274-6332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIME FAMILY MEDICINE AND WELLNESS CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-18",
        "last_updated": "2025-08-18",
        "certification_date": "2025-08-17",
        "status": "A",
        "authorized_official_last_name": "SCHNEIDER",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "REGISTERED NURSE",
        "authorized_official_telephone_number": "678-887-0565",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Suwanee, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.