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NOVA MEDICAL SERVICES, LLC
NPI 1144784679
Family Medicine in Villa Rica, GA

Active since January 29, 2019
20 HERRELL RD, VILLA RICA, GA 30180(770) 726-7460 Get Directions Write a Review

NPPES record last updated: October 11, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 11, 2021, Jan 29, 2019 (2 updates tracked since 2019).

About Nova Medical Services, Llc NPPES

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

NOVA MEDICAL SERVICES, LLC (NPI 1144784679) is a healthcare organization registered as a family medicine in Villa Rica, Georgia and active in the NPI registry since January 2019. The organization lists Richard Glass, Director, as its authorized official.

NPPES Registry Identity

NPI1144784679
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameNOVA MEDICAL SERVICES, LLC
Location Address20 HERRELL RDVilla Rica, GA 30180-5527
Mailing AddressPo Box 1149Villa Rica, GA 30180-6149
Phone(770) 726-7460
Organization SubpartNo
Authorized OfficialRichard GlassDirector · (770) 812-3928
Enumeration DateJanuary 29, 2019
Last NPPES UpdateOctober 11, 20212 updates tracked since enumeration
NPPES CertifiedOctober 11, 2021
✔ NPI 1144784679 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.
20 HERRELL RD, Villa Rica, GA 30180
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Other Identifiers 1

Medicaid003228138AGA

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 MULTIPLE SINGLE 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.

ALLYSON MOFFATT LPC
Counselor (Mental Health)
20 HERRELL RD
VILLA RICA, GA 30180
Carroll County (770) 812-3530
ANSON CHIN
Nurse Practitioner (Psychiatric/Mental Health)
20 HERRELL RD
VILLA RICA, GA 30180
Carroll County (770) 812-3283
UBI OKIM
Nurse Practitioner (Psychiatric/Mental Health)
20 HERRELL RD
VILLA RICA, GA 30180
Carroll County (770) 812-3530
THOMAS STUCKEY CRNP
Nurse Practitioner (Psychiatric/Mental Health)
20 HERRELL RD
VILLA RICA, GA 30180
Carroll County (770) 812-3294
ABIGAIL POST M.ED.
Counselor (Mental Health)
20 HERRELL RD
VILLA RICA, GA 30180
Carroll County (770) 812-3266
JOHN BRIAN GIBSON MA, LPC, CPCS
Counselor (Professional)
20 HERRELL RD
VILLA RICA, GA 30180
Carroll County (770) 456-3034
MS. STEPHANIE CHRISTINE SKY DNP-PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
20 HERRELL RD
VILLA RICA, GA 30180
Carroll County (770) 812-3530
DR. YESHA MUKESH THAKKAR D.O
Student in an Organized Health Care Education/Training Program
20 HERRELL RD
VILLA RICA, GA 30180
Carroll County (630) 873-9445

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 Nova Medical Services, LLC's NPI number?

The NPI number for Nova Medical Services, LLC is 1144784679. It was assigned to this organization in the NPPES registry on January 29, 2019.

Where is Nova Medical Services, LLC located?

Nova Medical Services, LLC is located at 20 Herrell Rd, Villa Rica, GA 30180. The listed phone number is (770) 726-7460.

What is Nova Medical Services, LLC'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 Nova Medical Services, LLC was last updated on October 11, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.