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PERSONAL PRIMARY CARE OF GEORGIA
NPI 1184215428
Nurse Practitioner - Primary Care in Dacula, GA

Active since January 29, 2021
1295 CHIPPEWA OAK DR, DACULA, GA 30019(678) 315-9943 Get Directions Write a Review

NPPES record last updated: January 29, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Personal Primary Care Of Georgia NPPES

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

PERSONAL PRIMARY CARE OF GEORGIA (NPI 1184215428) is a healthcare organization registered as a primary care in Dacula, Georgia and active in the NPI registry since January 2021. The organization lists Kimberly Farr, Provider, as its authorized official.

NPPES Registry Identity

NPI1184215428
Entity TypeOrganization
Primary Taxonomy363LP2300X
Legal Business NamePERSONAL PRIMARY CARE OF GEORGIA
Location Address1295 CHIPPEWA OAK DRDacula, GA 30019-1288
Mailing Address1295 Chippewa Oak DrDacula, GA 30019-1288 · (678) 315-9943
Phone(678) 315-9943
Organization SubpartNo
Authorized OfficialKimberly FarrProvider · (678) 315-9943
Enumeration DateJanuary 29, 2021
NPPES CertifiedJanuary 29, 2021
✔ NPI 1184215428 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
1295 CHIPPEWA OAK DR, Dacula, GA 30019
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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 Personal Primary Care Of Georgia's NPI number?

The NPI number for Personal Primary Care Of Georgia is 1184215428. It was assigned to this organization in the NPPES registry on January 29, 2021.

Where is Personal Primary Care Of Georgia located?

Personal Primary Care Of Georgia is located at 1295 Chippewa Oak Dr, Dacula, GA 30019. The listed phone number is (678) 315-9943.

What is Personal Primary Care Of Georgia's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

When was this NPI record last updated?

The NPPES record for Personal Primary Care Of Georgia was last updated on January 29, 2021. 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.