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CUMMING FAMILY PRACTICE
NPI 1104972298
Family Medicine in Cumming, GA

Active since January 25, 2007
319 CANTON RD, CUMMING, GA 30040(770) 886-8152(770) 886-8153 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Cumming Family Practice NPPES

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

CUMMING FAMILY PRACTICE (NPI 1104972298) is a healthcare organization registered as a family medicine in Cumming, Georgia and active in the NPI registry since January 2007. The organization lists Manuel M Fajardo, Owner, as its authorized official.

NPPES Registry Identity

NPI1104972298
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameCUMMING FAMILY PRACTICE
Location Address319 CANTON RDCumming, GA 30040-2213
Mailing Address319 Canton RdCumming, GA 30040-2213 · (770) 886-8152 · Fax (770) 886-8153
Phone(770) 886-8152
Fax(770) 886-8153
Organization SubpartNo
Authorized OfficialManuel M FajardoOwner · (770) 886-8152
Enumeration DateJanuary 25, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1104972298 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 · 011753
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.
319 CANTON RD, Cumming, GA 30040
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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 12

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

OKSANA CAMILLE OWENS
Behavior Technician
319 CANTON RD
CUMMING, GA 30040
Forsyth County (404) 832-0258
SHRUTI SRIHARI
Behavior Technician
319 CANTON RD
CUMMING, GA 30040
Forsyth County (470) 239-2237
MALCOLM P. DULOCK, MD
Specialist
319 CANTON RD
CUMMING, GA 30040
Forsyth County (678) 456-8200
LAUREN PALUMBO
Behavior Technician
319 CANTON RD
CUMMING, GA 30040
Forsyth County (470) 239-2237
ELAINA CRAFT
Behavior Technician
319 CANTON RD
CUMMING, GA 30040
Forsyth County (720) 896-4146
CASSANDRA LYNN MCSHANE
Behavior Technician
319 CANTON RD
CUMMING, GA 30040
Forsyth County (470) 239-2237
SHAUNA DAVIS
Behavior Technician
319 CANTON RD
CUMMING, GA 30040
Forsyth County (470) 239-2237
ALEXANDRA WITHROW WEEDY M.A., BCBA
Behavior Analyst
319 CANTON RD
CUMMING, GA 30040
Forsyth County (470) 239-2237

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 Cumming Family Practice's NPI number?

The NPI number for Cumming Family Practice is 1104972298. It was assigned to this organization in the NPPES registry on January 25, 2007.

Where is Cumming Family Practice located?

Cumming Family Practice is located at 319 Canton Rd, Cumming, GA 30040. The listed phone number is (770) 886-8152.

What is Cumming 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 Cumming Family Practice was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.