Active NPI
Rockdale Family Practice, PC
- Family Medicine Physician
- Conyers, GA
National Provider Identifier
1952460149
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 33847
- Legal business name
- ROCKDALE FAMILY PRACTICE, PC
- Practice address
- 2020 Honey Creek Pkwy SE
Conyers, GA 30013-2974 - Phone
- (770) 929-0813
- Fax
- (770) 929-3868
- NPI assigned
- Dec 6, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Cindy McGuire
- Title
- Office Administrator
- Phone
- (770) 929-0813
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 33847 | GA | Primary |
Addresses
Primary practice location
2020 Honey Creek Pkwy SE
Conyers, GA 30013-2974
Mailing address
2020 Honey Creek Pkwy SE
Conyers, GA 30013-2974
Phone (770) 929-0813
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 11D0702977 | Rockdale Family Practice | Compliance | Sep 12, 2027 |
National Provider Directory
National Provider DirectoryLocations
2020 Honey Creek Pkwy SE
Conyers, GA 30013
Phone (770) 929-0813
Interoperability endpoints
- nadeem.hoodbhoy@rfp.gadirect.net
- mohamed.kassam@rfp.gadirect.net
- nayeem.akmal@rfp.gadirect.net
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Physician
- Conyers, GA
- NPI 1306844675
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165363200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1952460149",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2020 HONEY CREEK PKWY SE",
"city": "CONYERS",
"state": "GA",
"postal_code": "300132974",
"telephone_number": "770-929-0813",
"fax_number": "770-929-3868"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2020 HONEY CREEK PKWY SE",
"city": "CONYERS",
"state": "GA",
"postal_code": "300132974",
"telephone_number": "770-929-0813",
"fax_number": "770-929-3868"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROCKDALE FAMILY PRACTICE, PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-06",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "MCGUIRE",
"authorized_official_first_name": "CINDY",
"authorized_official_title_or_position": "OFFICE ADMINISTRATOR",
"authorized_official_telephone_number": "770-929-0813",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "GA",
"license": "33847",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Conyers, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.