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MEDICAL CENTER FAMILY PRACTICE
NPI 1104025717
Family Medicine in Commerce, GA

Active since July 13, 2007
45 MEDICAL CENTER CT, COMMERCE, GA 30529(706) 335-5155(706) 335-5256 Get Directions Write a Review

NPPES record last updated: July 13, 2007. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Medical Center Family Practice NPPES

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

MEDICAL CENTER FAMILY PRACTICE (NPI 1104025717) is a healthcare organization registered as a family medicine in Commerce, Georgia and active in the NPI registry since July 2007. The organization lists Robert Marshburn, President, as its authorized official.

NPPES Registry Identity

NPI1104025717
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameMEDICAL CENTER FAMILY PRACTICE
Location Address45 MEDICAL CENTER CTCommerce, GA 30529-1085
Mailing Address45 Medical Center CtCommerce, GA 30529-1085 · (706) 335-5155 · Fax (706) 335-5256
Phone(706) 335-5155
Fax(706) 335-5256
Organization SubpartNo
Authorized OfficialRobert MarshburnPresident · (706) 335-5155
Enumeration DateJuly 13, 2007
✔ NPI 1104025717 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in GA · 030139
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.
45 MEDICAL CENTER CT, Commerce, GA 30529
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Other Identifiers 3

Medicaid00410484AGA
Medicare PIN08BDBLQGA
OtherD46015GA · Upin

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

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)

Medical Center Family Practice is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Medical Center Family Practice, which bills Medicare for the services this clinician delivers.

Clinician (1)

Robert Marshburn, MD
Family Practice
NPI 1629184395
45 MEDICAL CENTER CT
Commerce, GA 30529
(706) 335-5155
✔ PECOS✔ Accepts MedicareSame address

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 Medical Center Family Practice's NPI number?

The NPI number for Medical Center Family Practice is 1104025717. It was assigned to this organization in the NPPES registry on July 13, 2007.

Where is Medical Center Family Practice located?

Medical Center Family Practice is located at 45 Medical Center Ct, Commerce, GA 30529. The listed phone number is (706) 335-5155.

What is Medical Center Family Practice's specialty?

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

Is Medical Center Family Practice enrolled in Medicare?

Yes. Medical Center Family Practice is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Medical Center Family Practice?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Medical Center Family Practice. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Medical Center Family Practice accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Medical Center Family Practice 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 Medical Center Family Practice was last updated on July 13, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.