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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

HARBOR LIGHT DIRECT PRIMARY CARE, LLC
NPI 1407643596
Internal Medicine in Alpharetta, GA

Active since April 22, 2025
3508 OLD MILTON PKWY, ALPHARETTA, GA 30005(678) 404-5521(470) 275-0879 Get Directions Write a Review

NPPES record last updated: October 1, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Harbor Light Direct Primary Care, Llc NPPES

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

HARBOR LIGHT DIRECT PRIMARY CARE, LLC (NPI 1407643596) is a healthcare organization registered as an internal medicine in Alpharetta, Georgia and active in the NPI registry since April 2025. The organization lists Amy Fallen, Md, as its authorized official.

NPPES Registry Identity

NPI1407643596
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameHARBOR LIGHT DIRECT PRIMARY CARE, LLC
Location Address3508 OLD MILTON PKWYAlpharetta, GA 30005-4458
Mailing Address3508 Old Milton PkwyAlpharetta, GA 30005-4458 · (678) 404-5521 · Fax (470) 275-0879
Phone(678) 404-5521
Fax(470) 275-0879
Organization SubpartNo
Authorized OfficialAmy FallenMd · (678) 404-5521
Enumeration DateApril 22, 2025
Last NPPES UpdateOctober 1, 2026
NPPES CertifiedOctober 1, 2026
✔ NPI 1407643596 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
3508 OLD MILTON PKWY, Alpharetta, GA 30005
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Other Providers at the Same Location NPPES 2

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

VANESSA KIEPURA
Internal Medicine
3508 OLD MILTON PKWY
ALPHARETTA, GA 30005
Fulton County (678) 404-5521
DR. AMY MYRE FALLEN MD
Internal Medicine
3508 OLD MILTON PKWY
ALPHARETTA, GA 30005
Fulton County (678) 404-5521

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 Harbor Light Direct Primary Care, LLC's NPI number?

The NPI number for Harbor Light Direct Primary Care, LLC is 1407643596. It was assigned to this organization in the NPPES registry on April 22, 2025.

Where is Harbor Light Direct Primary Care, LLC located?

Harbor Light Direct Primary Care, LLC is located at 3508 Old Milton Pkwy, Alpharetta, GA 30005. The listed phone number is (678) 404-5521.

What is Harbor Light Direct Primary Care, LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for Harbor Light Direct Primary Care, LLC was last updated on October 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 days 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.