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FAMILY MEDICINE OF GWINNETT, LLC
NPI 1255568150
Public Health or Welfare in Snellville, GA

Active since June 18, 2009
1742 OAK ROAD, SNELLVILLE, GA 30078(770) 638-1401(770) 638-1402 Get Directions Write a Review

NPPES record last updated: June 18, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Family Medicine Of Gwinnett, Llc NPPES

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

FAMILY MEDICINE OF GWINNETT, LLC (NPI 1255568150) is a healthcare organization registered as a public health or welfare in Snellville, Georgia and active in the NPI registry since June 2009. The organization lists Yong S Kim, Doctor/owner, as its authorized official.

NPPES Registry Identity

NPI1255568150
Entity TypeOrganization
Primary Taxonomy251K00000X
Legal Business NameFAMILY MEDICINE OF GWINNETT, LLC
Location Address1742 OAK ROADSnellville, GA 30078
Mailing Address1742 Oak RoadSnellville, GA 30078 · (770) 638-1401 · Fax (770) 638-1402
Phone(770) 638-1401
Fax(770) 638-1402
Organization SubpartNo
Authorized OfficialYong S KimDoctor/owner · (770) 638-1401
Enumeration DateJune 18, 2009
✔ NPI 1255568150 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPublic Health or WelfareAgencies
Taxonomy Code251K00000X
License✔ Licensed in GA · 046142
Also ListedExclusive Provider OrganizationTaxonomy 302F00000X · License 046142 (GA)
Also ListedHealth Maintenance OrganizationTaxonomy 302R00000X · License 046142 (GA)
1742 OAK ROAD, Snellville, GA 30078
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Other Identifiers 1

Medicare PIN08BBQTZGA

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 Family Medicine Of Gwinnett, LLC's NPI number?

The NPI number for Family Medicine Of Gwinnett, LLC is 1255568150. It was assigned to this organization in the NPPES registry on June 18, 2009.

Where is Family Medicine Of Gwinnett, LLC located?

Family Medicine Of Gwinnett, LLC is located at 1742 Oak Road, Snellville, GA 30078. The listed phone number is (770) 638-1401.

What is Family Medicine Of Gwinnett, LLC's specialty?

The primary specialty registered for this NPI is Public Health or Welfare with taxonomy code 251K00000X.

When was this NPI record last updated?

The NPPES record for Family Medicine Of Gwinnett, LLC was last updated on June 18, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.