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SOUTH FULTON PRIMARY CARE, LLC
NPI 1174851919
Family Medicine in East Point, GA

Active since December 04, 2009
1203 CLEVELAND AVE, SUITE 1A, EAST POINT, GA 30344(404) 305-8900(404) 305-8099 Get Directions Write a Review

NPPES record last updated: December 4, 2009. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About South Fulton Primary Care, Llc NPPES

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

SOUTH FULTON PRIMARY CARE, LLC (NPI 1174851919) is a healthcare organization registered as a family medicine in East Point, Georgia and active in the NPI registry since December 2009. The organization lists Logan Allen, Vp Client Operations, as its authorized official.

NPPES Registry Identity

NPI1174851919
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameSOUTH FULTON PRIMARY CARE, LLC
Location Address1203 CLEVELAND AVE, SUITE 1AEast Point, GA 30344-3417
Mailing Address2220 Wisteria Dr, Suite 208Snellville, GA 30078-2656 · (678) 252-2137 · Fax (678) 336-7099
Phone(404) 305-8900
Fax(404) 305-8099
Organization SubpartNo
Authorized OfficialLogan AllenVp Client Operations · (678) 252-2137
Enumeration DateDecember 4, 2009
✔ NPI 1174851919 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 · 046202
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.

1203 CLEVELAND AVE, East Point, GA 30344
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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 15

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

EAST POINT PRIMARY CARE CENTER, PC
Family Medicine
1203 CLEVELAND AVE, SUITE 2-D
EAST POINT, GA 30344
Fulton County (404) 684-7111
EAST POINT PHYSICIANS GROUP, PC
Clinic/Center (Medical Specialty)
1203 CLEVELAND AVE, SUITE 1-C
EAST POINT, GA 30344
Fulton County (404) 855-2730
DR. BETTY ELIZABETH STRONG MD
Family Medicine
1203 CLEVELAND AVE, SUITE 1-A
EAST POINT, GA 30344
Fulton County (404) 835-2891
SIMONE MARIE ANDERSON
Nurse Practitioner (Family)
1203 CLEVELAND AVE
ATLANTA, GA 30344
Fulton County (404) 755-2291
MS. ELLEN L VAUGHT OTR/L
Occupational Therapist
1203 CLEVELAND AVE, SUITE 1A
EAST POINT, GA 30344
Fulton County (678) 783-7845
FLEMING MEDICAL CENTER, INC
Occupational Therapist
1203 CLEVELAND AVE, SUITE 1A
EAST POINT, GA 30344
Fulton County (678) 886-8665
ATLANTA OBSTETRICS AND FAMILY CARE, P.C.
Clinic/Center (Medical Specialty)
1203 CLEVELAND AVE, SUITE 1A
EAST POINT, GA 30344
Fulton County (404) 305-8900
DR. SHAKOORA CENA OMONUWA M.D.
Family Medicine
1203 CLEVELAND AVE, STE 1-B
EAST POINT, GA 30344
Fulton County (404) 767-8884

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 South Fulton Primary Care, LLC's NPI number?

The NPI number for South Fulton Primary Care, LLC is 1174851919. It was assigned to this organization in the NPPES registry on December 4, 2009.

Where is South Fulton Primary Care, LLC located?

South Fulton Primary Care, LLC is located at 1203 Cleveland Ave Suite 1A, East Point, GA 30344. The listed phone number is (404) 305-8900.

What is South Fulton Primary Care, 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 South Fulton Primary Care, LLC was last updated on December 4, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.