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GRAYSON PRIMARY CARE LLC
NPI 1417903451
Family Medicine in Grayson, GA

Active since May 25, 2006
2594 LOGANVILLE HWY, SUITE 101, GRAYSON, GA 30017(678) 225-4999(678) 225-5546 Get Directions Write a Review

NPPES record last updated: April 20, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Grayson Primary Care Llc NPPES

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

GRAYSON PRIMARY CARE LLC (NPI 1417903451) is a healthcare organization registered as a family medicine in Grayson, Georgia and active in the NPI registry since May 2006. The organization lists Mark Pickett, Vp, as its authorized official.

NPPES Registry Identity

NPI1417903451
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameGRAYSON PRIMARY CARE LLC
Location Address2594 LOGANVILLE HWY, SUITE 101Grayson, GA 30017-1617
Mailing Address2594 Loganville Hwy, Suite 101Grayson, GA 30017-1617 · (678) 225-4999 · Fax (678) 225-5546
Phone(678) 225-4999
Fax(678) 225-5546
Organization SubpartNo
Authorized OfficialMark PickettVp · (678) 762-5037
Enumeration DateMay 25, 2006
Last NPPES UpdateApril 20, 2008
✔ NPI 1417903451 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.
2594 LOGANVILLE HWY, Grayson, GA 30017
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Other Identifiers 1

Medicare PINGRP7753GA

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

Other Providers at the Same Location NPPES 3

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

MICHELE A AGUAYO MD
Family Medicine
2594 LOGANVILLE HWY
GRAYSON, GA 30017
Gwinnett County (678) 225-4999
DR. ASHA YAMINI PONUGOTI DDS
Dentist (Pediatric Dentistry)
2594 LOGANVILLE HWY, SUITE 106
GRAYSON, GA 30017
Gwinnett County (678) 682-9819
GRAYSON PEDIATRIC DENTISTRY, P.C.
Dentist (Pediatric Dentistry)
2594 LOGANVILLE HWY, SUITE 106
GRAYSON, GA 30017
Gwinnett County (678) 682-9819

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 Grayson Primary Care LLC's NPI number?

The NPI number for Grayson Primary Care LLC is 1417903451. It was assigned to this organization in the NPPES registry on May 25, 2006.

Where is Grayson Primary Care LLC located?

Grayson Primary Care LLC is located at 2594 Loganville Hwy Suite 101, Grayson, GA 30017. The listed phone number is (678) 225-4999.

What is Grayson Primary Care LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Grayson Primary Care LLC was last updated on April 20, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.