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MOUNTAIN PARK PRIMARY CARE CENTER
NPI 1497955678
General Practice in Stone Mountain, GA

Active since July 24, 2007
1755 E PARK PLACE BLVD, STONE MOUNTAIN, GA 30087(770) 469-2040(770) 469-7010 Get Directions Write a Review

NPPES record last updated: July 24, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mountain Park Primary Care Center NPPES

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

MOUNTAIN PARK PRIMARY CARE CENTER (NPI 1497955678) is a healthcare organization registered as a general practice in Stone Mountain, Georgia and active in the NPI registry since July 2007. The organization lists William Walter Noyd, Owner/physician, as its authorized official.

NPPES Registry Identity

NPI1497955678
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameMOUNTAIN PARK PRIMARY CARE CENTER
Location Address1755 E PARK PLACE BLVDStone Mountain, GA 30087-3459
Mailing Address1755 E Park Place BlvdStone Mountain, GA 30087-3459 · (770) 469-2040 · Fax (770) 469-7010
Phone(770) 469-2040
Fax(770) 469-7010
Organization SubpartNo
Authorized OfficialWilliam Walter NoydOwner/physician · (770) 469-2040
Enumeration DateJuly 24, 2007
✔ NPI 1497955678 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in GA · 021187
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
1755 E PARK PLACE BLVD, Stone Mountain, GA 30087
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Other Identifiers 4

Medicare OSCAR/certification01BDHPTGA
Medicare UPIND30368GA
Other10036820GA · Amerigroup
Medicaid00203761KGA

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 4

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

DR. WILLIAM WALTER NOYD M.D.
General Practice
1755 E PARK PLACE BLVD
STONE MOUNTAIN, GA 30087
Dekalb County (770) 469-2040
KETARA WELLNESS CENTER LLC
Home Health
1755 E PARK PLACE BLVD
STONE MOUNTAIN, GA 30087
Dekalb County (404) 518-2476
AMERICARE SERVICES INC
In Home Supportive Care
1755 E PARK PLACE BLVD
STONE MOUNTAIN, GA 30087
Dekalb County (770) 656-9593
AMERICAN COMPREHENSIVE LABORATORY AND DIAGNOSTIC SERVICES, INC
Clinical Medical Laboratory
1755 E PARK PLACE BLVD
STONE MOUNTAIN, GA 30087
Dekalb County (404) 756-6737

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 Mountain Park Primary Care Center's NPI number?

The NPI number for Mountain Park Primary Care Center is 1497955678. It was assigned to this organization in the NPPES registry on July 24, 2007.

Where is Mountain Park Primary Care Center located?

Mountain Park Primary Care Center is located at 1755 E Park Place Blvd, Stone Mountain, GA 30087. The listed phone number is (770) 469-2040.

What is Mountain Park Primary Care Center's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Mountain Park Primary Care Center was last updated on July 24, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.