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SNELLVILLE PRIMARY CARE
NPI 1104033315
Family Medicine in Snellville, GA

Active since May 17, 2007
1800 TREE LN, STE 290A, SNELLVILLE, GA 30078(770) 979-1544(770) 979-5662 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 11, 2025, Aug 22, 2020 (2 updates tracked since 2020).

About Snellville Primary Care NPPES

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

SNELLVILLE PRIMARY CARE (NPI 1104033315) is a healthcare organization registered as a family medicine in Snellville, Georgia and active in the NPI registry since May 2007. The organization lists Sarah Ghayouri, Doctor - Owner, as its authorized official.

NPPES Registry Identity

NPI1104033315
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameSNELLVILLE PRIMARY CARE
Location Address1800 TREE LN, STE 290ASnellville, GA 30078-2016
Mailing Address1800 Tree Ln, Ste 290aSnellville, GA 30078-2016 · (770) 979-1544 · Fax (770) 979-5662
Phone(770) 979-1544
Fax(770) 979-5662
Organization SubpartNo
Authorized OfficialSarah GhayouriDoctor - Owner · (770) 979-1544
Enumeration DateMay 17, 2007
Last NPPES UpdateSeptember 11, 20252 updates tracked since enumeration
✔ NPI 1104033315 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in GA · 017573
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 · License 039109 (GA)
1800 TREE LN, Snellville, GA 30078
Open in Google Maps ↗

Other Identifiers 1

Medicaid00623389AGA

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 20

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

CENTER FOR COLORECTAL CARE LLC
Colon & Rectal Surgery
1800 TREE LN, SUITE 270
SNELLVILLE, GA 30078
Gwinnett County (678) 344-6303
KENDRA GARDNER ATC
Specialist/Technologist (Athletic Trainer)
1800 TREE LN, SUITE 140
SNELLVILLE, GA 30078
Gwinnett County (770) 982-1260
DR. WILLIAM KEHNE MOELLER M.D.
Specialist
1800 TREE LN, SUITE 140
SNELLVILLE, GA 30078
Gwinnett County (678) 344-4944
GWINNETT ORTHOPEDICS PC
Specialist
1800 TREE LN, SUITE 140
SNELLVILLE, GA 30078
Gwinnett County (770) 963-6300
GREATER GWINNETT PHYSICIAN PRACTICE COMPANY
Family Medicine
1800 TREE LN, STE. 120
SNELLVILLE, GA 30078
Gwinnett County (770) 982-9450
BRYAN RUCHIN PT
Physical Therapist
1800 TREE LN, SUITE 140
SNELLVILLE, GA 30078
Gwinnett County (770) 982-1260
FOOT, ANKLE AND LEG SPECIALISTS OF GEORGIA
Podiatrist (Foot & Ankle Surgery)
1800 TREE LN, SUITE 320
SNELLVILLE, GA 30078
Gwinnett County (770) 979-1890
MUKESH R PATEL MD PC
Urology
1800 TREE LN, SUITE 160
SNELLVILLE, GA 30078
Gwinnett County (770) 979-9966

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 Snellville Primary Care's NPI number?

The NPI number for Snellville Primary Care is 1104033315. It was assigned to this organization in the NPPES registry on May 17, 2007.

Where is Snellville Primary Care located?

Snellville Primary Care is located at 1800 Tree Ln Ste 290A, Snellville, GA 30078. The listed phone number is (770) 979-1544.

What is Snellville Primary Care'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 Snellville Primary Care was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.