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NW GEORGIA FAMILY PRACTICE
NPI 1053405704
Family Medicine in Marietta, GA

Active since October 03, 2006
2526 SHALLOWFORD ROAD, SUITE C, MARIETTA, GA 30066(770) 516-3500(770) 516-3660 Get Directions Write a Review

NPPES record last updated: March 17, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Nw Georgia Family Practice NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NW GEORGIA FAMILY PRACTICE (NPI 1053405704) is a healthcare organization registered as a family medicine in Marietta, Georgia and active in the NPI registry since October 2006. The organization lists Tamiko Zachery, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1053405704
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameNW GEORGIA FAMILY PRACTICE
Location Address2526 SHALLOWFORD ROAD, SUITE CMarietta, GA 30066
Mailing Address2513 Shallowford Rd, Building 100Marietta, GA 30066-6809 · (770) 516-3500 · Fax (770) 516-3660
Phone(770) 516-3500
Fax(770) 516-3660
Organization SubpartNo
Authorized OfficialTamiko ZacheryOffice Manager · (770) 516-3500
Enumeration DateOctober 3, 2006
Last NPPES UpdateMarch 17, 2008
✔ NPI 1053405704 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
2526 SHALLOWFORD ROAD, Marietta, GA 30066
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JEFF KWAN DDS
Dentist
2526 SHALLOWFORD ROAD, SUITE B
MARIETTA, GA 30066
Cobb County (770) 924-1232

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is NW Georgia Family Practice's NPI number?

The NPI number for NW Georgia Family Practice is 1053405704. It was assigned to this organization in the NPPES registry on October 3, 2006.

Where is NW Georgia Family Practice located?

NW Georgia Family Practice is located at 2526 Shallowford Road Suite C, Marietta, GA 30066. The listed phone number is (770) 516-3500.

What is NW Georgia Family Practice's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for NW Georgia Family Practice was last updated on March 17, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.