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: July 19, 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
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

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.

General Practice
1755 E PARK PLACE BLVD
STONE MOUNTAIN, GA 30087
Clinical Medical Laboratory
1755 E PARK PLACE BLVD
STONE MOUNTAIN, GA 30087
Home Health
1755 E PARK PLACE BLVD
STONE MOUNTAIN, GA 30087
In Home Supportive Care
1755 E PARK PLACE BLVD
STONE MOUNTAIN, GA 30087

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1497955678, enumerated as an "organization" on July 24, 2007.

The provider is located at 1755 E PARK PLACE BLVD STONE MOUNTAIN, GA 30087 and the phone number is (770) 469-2040.

General Practice with taxonomy code 208D00000X.

The provider might be accepting Accepts: Medicare, Medicaid and Amerigroup. Please consult your insurance carrier or call the provider to verify.