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DOUGLAS COUNTY FAMILY PRACTICE, P.C.
NPI 1083769376
Family Medicine in Douglasville, GA

Active since January 24, 2007
3872 HIGHWAY 5, DOUGLASVILLE, GA 30135(770) 949-5535(770) 949-9022 Get Directions Write a Review

NPPES record last updated: February 11, 2015. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Douglas County Family Practice, P.c. NPPES

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

DOUGLAS COUNTY FAMILY PRACTICE, P.C. (NPI 1083769376) is a healthcare organization registered as a family medicine in Douglasville, Georgia and active in the NPI registry since January 2007. The organization lists Mariam George, Practice Administrator, as its authorized official.

NPPES Registry Identity

NPI1083769376
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameDOUGLAS COUNTY FAMILY PRACTICE, P.C.
Location Address3872 HIGHWAY 5Douglasville, GA 30135-3366
Mailing Address3872 Highway 5Douglasville, GA 30135-3366 · (770) 949-5535 · Fax (770) 949-9022
Phone(770) 949-5535
Fax(770) 949-9022
Organization SubpartNo
Authorized OfficialMariam GeorgePractice Administrator · (770) 949-5535
Enumeration DateJanuary 24, 2007
Last NPPES UpdateFebruary 11, 2015
✔ NPI 1083769376 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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.
Also ListedInternal MedicineTaxonomy 207R00000X
3872 HIGHWAY 5, Douglasville, GA 30135
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Other Identifiers 7

Other1972590982GA · Npi-dr. Mariam George
Medicaid085111111GGA
Medicaid442225907AGA
Medicare UPINI08046GA
Medicare ID-Type Unspecified258337566BGA
Medicare UPIND45421GA
Other023734GA · License#dr. Mariam George

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Douglas County Family Practice, P.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

7

Medicare enrollment records show 7 clinicians reassign Medicare billing to Douglas County Family Practice, P.C., which bills Medicare for the services they deliver. Of these, 5 practice at this address. They are listed nearest first.

Clinicians, nearest first (7)

Binu George, MD
Pulmonary Disease
NPI 1821268319
3872 HIGHWAY 5
Douglasville, GA 30135
(770) 949-5535
✔ PECOS✔ Accepts MedicareSame address
Mekayla Kirt
Nurse Practitioner
NPI 1437843968
3327 HIGHWAY 5
Douglasville, GA 30135
(770) 949-5535
✔ PECOS✔ Accepts MedicareSame address
Zoie Maynard
Nurse Practitioner
NPI 1447143896
3327 HIGHWAY 5
Douglasville, GA 30135
(770) 577-2248
✔ PECOS✔ Accepts MedicareSame address
Destinee Mccall, FNP-C
Nurse Practitioner
NPI 1730902198
3327 HIGHWAY 5
Douglasville, GA 30135
(770) 949-5535
✔ PECOS✔ Accepts MedicareSame address
Thaedra Mercadel, M.D.
Internal Medicine
NPI 1801068531
3872 HIGHWAY 5
Douglasville, GA 30135
(770) 949-5535
✔ PECOS✔ Accepts MedicareSame address
Aariti Patel, FNP
Nurse Practitioner
NPI 1720527583
140 VANN ST NE STE 340
Marietta, GA 30060
(770) 419-0020
✔ PECOS✔ Accepts Medicare24 mi
Priya Palliyil, MD
Internal Medicine
NPI 1023005006
1240 UPPER HEMBREE RD STE D
Roswell, GA 30076
(770) 667-0810
✔ PECOS✔ Accepts Medicare37 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Douglas County Family Practice, P.C.'s NPI number?

The NPI number for Douglas County Family Practice, P.C. is 1083769376. It was assigned to this organization in the NPPES registry on January 24, 2007.

Where is Douglas County Family Practice, P.C. located?

Douglas County Family Practice, P.C. is located at 3872 Highway 5, Douglasville, GA 30135. The listed phone number is (770) 949-5535.

What is Douglas County Family Practice, P.C.'s specialty?

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

Is Douglas County Family Practice, P.C. enrolled in Medicare?

Yes. Douglas County Family Practice, P.C. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Douglas County Family Practice, P.C.?

According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians in 3 Medicare specialties reassign their Medicare billing to Douglas County Family Practice, P.C.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (4), Internal Medicine (2) and Pulmonary Disease (1). Of these, 5 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Douglas County Family Practice, P.C. accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Douglas County Family Practice, P.C. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Douglas County Family Practice, P.C. was last updated on February 11, 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.