LONGEVITY MEDICAL CENTER, PC
NPI 1124596069
Family Medicine in Atlanta, GA

Q: What is Longevity Medical Center, PC's NPI number?

The NPI number for Longevity Medical Center, PC is 1124596069. It was assigned to this organization in the NPPES registry on November 8, 2018.

Q: What is Longevity Medical Center, PC's specialty?

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

Active since November 08, 2018

4646 N SHALLOWFORD RD STE 300, ATLANTA, GA 30338(678) 736-6383(678) 280-6761 Get Directions Write a Review

NPPES record last updated: November 8, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Longevity Medical Center, Pc NPPES

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

LONGEVITY MEDICAL CENTER, PC (NPI 1124596069) is a healthcare organization registered as a family medicine in Atlanta, Georgia and active in the NPI registry since November 2018. The organization lists Saira Sultan, Doo, as its authorized official.

NPPES Registry Identity

NPI1124596069

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameLONGEVITY MEDICAL CENTER, PC

Location Address4646 N SHALLOWFORD RD STE 300Atlanta, GA 30338-6308

Mailing Address1551 Dunwoody Village Pkwy Unit 888426Atlanta, GA 30356-0115 · (678) 736-6383 · Fax (678) 280-6761

Phone(678) 736-6383

Fax(678) 280-6761

Organization SubpartNo

Authorized OfficialSaira SultanDoo · (770) 676-6000

Enumeration DateNovember 8, 2018

✔ NPI 1124596069 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.

4646 N SHALLOWFORD RD STE 300, Atlanta, GA 30338

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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

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 Longevity Medical Center, PC's NPI number?

The NPI number for Longevity Medical Center, PC is 1124596069. It was assigned to this organization in the NPPES registry on November 8, 2018.

Where is Longevity Medical Center, PC located?

Longevity Medical Center, PC is located at 4646 N Shallowford Rd Ste 300, Atlanta, GA 30338. The listed phone number is (678) 736-6383.

What is Longevity Medical Center, PC'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 Longevity Medical Center, PC was last updated on November 8, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.