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PATRIOT HEALTHCARE OF GEORGIA, LLC
NPI 1275002636
Family Medicine - Geriatric Medicine in College Park, GA

Active since November 15, 2018
1587 PHOENIX BOULEVARD, SUITE 6, COLLEGE PARK, GA 30349(404) 435-6029 Get Directions Write a Review

NPPES record last updated: November 15, 2018. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Patriot Healthcare Of Georgia, Llc NPPES

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

PATRIOT HEALTHCARE OF GEORGIA, LLC (NPI 1275002636), doing business as Phc Of Ga College Park, is a healthcare organization registered as a geriatric medicine in College Park, Georgia and active in the NPI registry since November 2018. The organization lists David A. Culver, Administrator, as its authorized official.

NPPES Registry Identity

NPI1275002636
Entity TypeOrganization
Primary Taxonomy207QG0300X
Legal Business NamePATRIOT HEALTHCARE OF GEORGIA, LLC
Location Address1587 PHOENIX BOULEVARD, SUITE 6College Park, GA 30349
Mailing Address100 Arricola AvenueSt. Augustine, FL 32080 · (904) 825-4368
Phone(404) 435-6029
Organization SubpartNo
Authorized OfficialDavid A. CulverAdministrator · (904) 825-4368
Enumeration DateNovember 15, 2018
✔ NPI 1275002636 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QG0300X
Definition
A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital.
1587 PHOENIX BOULEVARD, College Park, GA 30349
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Other Names 1

Doing Business AsPhc Of Ga College Park

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

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 Patriot Healthcare Of Georgia, LLC's NPI number?

The NPI number for Patriot Healthcare Of Georgia, LLC is 1275002636. It was assigned to this organization in the NPPES registry on November 15, 2018. The provider is doing business as PHC of GA College Park.

Where is Patriot Healthcare Of Georgia, LLC located?

Patriot Healthcare Of Georgia, LLC is located at 1587 Phoenix Boulevard Suite 6, College Park, GA 30349. The listed phone number is (404) 435-6029.

What is Patriot Healthcare Of Georgia, LLC's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Geriatric Medicine, with taxonomy code 207QG0300X.

When was this NPI record last updated?

The NPPES record for Patriot Healthcare Of Georgia, LLC was last updated on November 15, 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.