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MEMORIAL DRIVE FAMILY MEDICINE P.C
NPI 1285994251
Family Medicine in Stone Mountain, GA

Active since May 23, 2012
4958 MEMORIAL DR, STONE MOUNTAIN, GA 30083(404) 809-2480(404) 809-2485 Get Directions Write a Review

NPPES record last updated: July 12, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Memorial Drive Family Medicine P.c NPPES

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

MEMORIAL DRIVE FAMILY MEDICINE P.C (NPI 1285994251) is a healthcare organization registered as a family medicine in Stone Mountain, Georgia and active in the NPI registry since May 2012. The organization lists Tassew Tesfaye, Medical Doctor, as its authorized official.

NPPES Registry Identity

NPI1285994251
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameMEMORIAL DRIVE FAMILY MEDICINE P.C
Location Address4958 MEMORIAL DRStone Mountain, GA 30083-4148
Mailing Address4958 Memorial DrStone Mountain, GA 30083-4148 · (404) 809-2480 · Fax (404) 809-2485
Phone(404) 809-2480
Fax(404) 809-2485
Organization SubpartNo
Authorized OfficialTassew TesfayeMedical Doctor · (404) 809-2480
Enumeration DateMay 23, 2012
Last NPPES UpdateJuly 12, 2012
✔ NPI 1285994251 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.
4958 MEMORIAL DR, Stone Mountain, GA 30083
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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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Other Providers at the Same Location NPPES 5

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

RAPHAEL B FOWLER AGPCNP-C
Nurse Practitioner (Adult Health)
4958 MEMORIAL DR
STONE MOUNTAIN, GA 30083
Dekalb County (678) 542-9756
MARSHET TENAW
Nurse Practitioner (Family)
4958 MEMORIAL DR
STONE MOUNTAIN, GA 30083
Dekalb County (404) 809-2480
DR. TASSEW TESFAYE M.D.
Family Medicine
4958 MEMORIAL DR
STONE MOUNTAIN, GA 30083
Dekalb County (404) 809-2480
HOPE DISPENSARY
Non-Pharmacy Dispensing Site
4958 MEMORIAL DR
STONE MOUNTAIN, GA 30083
Dekalb County (404) 809-2486
SELAMAWIT WEHABE TSEGA MDCE
Physician Assistant
4958 MEMORIAL DR
STONE MOUNTAIN, GA 30083
Dekalb County (404) 809-2480

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 Memorial Drive Family Medicine P.C's NPI number?

The NPI number for Memorial Drive Family Medicine P.C is 1285994251. It was assigned to this organization in the NPPES registry on May 23, 2012.

Where is Memorial Drive Family Medicine P.C located?

Memorial Drive Family Medicine P.C is located at 4958 Memorial Dr, Stone Mountain, GA 30083. The listed phone number is (404) 809-2480.

What is Memorial Drive Family Medicine P.C's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

What insurance does Memorial Drive Family Medicine P.C accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Memorial Drive Family Medicine P.C as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Memorial Drive Family Medicine P.C was last updated on July 12, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.