FAMILY MEDICAL CENTER (HOLDING) P.C.
NPI 1053797183
Internal Medicine - Adolescent Medicine in College Park, GA

Active since July 30, 2015
5615 OLD NATIONAL HWY, COLLEGE PARK, GA 30349(770) 997-2900 Get Directions Write a Review

NPPES record last updated: July 30, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Family Medical Center (holding) P.c. NPPES

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

FAMILY MEDICAL CENTER (HOLDING) P.C. (NPI 1053797183) is a healthcare organization registered as an adolescent medicine in College Park, Georgia and active in the NPI registry since July 2015. The organization lists Sallu Jabati, Ceo, as its authorized official.

NPPES Registry Identity

NPI1053797183
Entity TypeOrganization
Primary Taxonomy207RA0000X
Legal Business NameFAMILY MEDICAL CENTER (HOLDING) P.C.
Location Address5615 OLD NATIONAL HWYCollege Park, GA 30349-3811
Mailing Address5615 Old National HwyCollege Park, GA 30349-3811 · (770) 997-2900
Organization SubpartNo
Authorized OfficialSallu JabatiCeo · (678) 559-4526
Enumeration DateJuly 30, 2015
NPI 1053797183 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Adolescent MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RA0000X
License Licensed in GA · 058527
Definition
An internist who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
Also ListedInternal MedicineTaxonomy 207R00000X
5615 OLD NATIONAL HWY, College Park, GA 30349

Other Identifiers 1

Medicaid712681970BGA

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 7

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

Chiropractor
5615 OLD NATIONAL HWY, SUITE E
COLLEGE PARK, GA 30349
Clinic/Center (Physical Therapy)
5615 OLD NATIONAL HWY, SUITE D
COLLEGE PARK, GA 30349
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
5615 OLD NATIONAL HWY, STE A
COLLEGE PARK, GA 30349
Pharmacy
5615 OLD NATIONAL HWY, B
COLLEGE PARK, GA 30349
Community/Behavioral Health
5615 OLD NATIONAL HWY, SUITE D
COLLEGE PARK, GA 30349
Pharmacist
5615 OLD NATIONAL HWY, B
COLLEGE PARK, GA 30349
Nurse Practitioner (Primary Care)
5615 OLD NATIONAL HWY
COLLEGE PARK, GA 30349

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 Family Medical Center (holding) P.C.'s NPI number?

The NPI number for Family Medical Center (holding) P.C. is 1053797183. It was assigned to this organization in the NPPES registry on July 30, 2015.

Where is Family Medical Center (holding) P.C. located?

Family Medical Center (holding) P.C. is located at 5615 Old National Hwy, College Park, GA 30349. The listed phone number is (770) 997-2900.

What is Family Medical Center (holding) P.C.'s specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Adolescent Medicine, with taxonomy code 207RA0000X.

When was this NPI record last updated?

The NPPES record for Family Medical Center (holding) P.C. was last updated on July 30, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.