Mayuga Family Medicine LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

MAYUGA FAMILY MEDICINE LLC

Practice address

236B Stockbridge Rd
Jonesboro, GA 30236-3629

Phone

(770) 742-9326

Fax

(862) 298-0871

NPI assigned

Mar 9, 2023

Organization subpart

No

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

Authorized official

Name

Tom John Albunian Mayuga, DONPI 1902433246

Title

Owner

Phone

(770) 742-9326

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.

• Tom John Albunian Mayuga, DO

  • Family Medicine Physician
  • Newnan, GA
  • NPI 1902433246
  NPD Authorized official

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

{
    "created_epoch": "1678320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678665600000",
    "number": "1972203735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1575 HARVEST LN",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300046741",
            "telephone_number": "770-742-9326",
            "fax_number": "862-298-0871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "236B STOCKBRIDGE RD",
            "city": "JONESBORO",
            "state": "GA",
            "postal_code": "302363629",
            "telephone_number": "770-742-9326",
            "fax_number": "862-298-0871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAYUGA FAMILY MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-09",
        "last_updated": "2023-03-13",
        "certification_date": "2023-03-13",
        "status": "A",
        "authorized_official_last_name": "MAYUGA",
        "authorized_official_first_name": "TOM JOHN",
        "authorized_official_middle_name": "ALBUNIAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-742-9326",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Doreen Matthews
• Janice C Matthewson, MD
• Max Empowerment, LLC
• Kristin Renee Mayo, DC
• Paul Christian Mayor, M.D.
• Valerie L McAdams, PSY.D.
• Tanya McAllister
• Clea McBride
• Taylor McCall
• Schlonda McCarthan

• Primary Care Clinic/Center in Jonesboro, GA
• Providers in Jonesboro, GA by specialty
• Primary Care Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2023; 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.