LAVISTA FAMILY MEDICINE
NPI 1538333497
Clinic/Center - Primary Care in Atlanta, GA

Active since April 22, 2008
2910 N DRUID HILLS RD NE, SUITE A, ATLANTA, GA 30329(404) 320-6050(404) 320-6080 Get Directions Write a Review

NPPES record last updated: October 24, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Lavista Family Medicine NPPES

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

LAVISTA FAMILY MEDICINE (NPI 1538333497) is a healthcare organization registered as a primary care in Atlanta, Georgia and active in the NPI registry since April 2008. The organization lists Mikhail Gorokhov, Family Practice, as its authorized official.

NPPES Registry Identity

NPI1538333497
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameLAVISTA FAMILY MEDICINE
Location Address2910 N DRUID HILLS RD NE, SUITE AAtlanta, GA 30329-3919
Mailing Address2012 Harobi Dr, Suite BTucker, GA 30084-5161 · (404) 320-6050 · Fax (404) 320-6080
Fax(404) 320-6080
Organization SubpartNo
Authorized OfficialMikhail GorokhovFamily Practice · (404) 320-6050
Enumeration DateApril 22, 2008
Last NPPES UpdateOctober 24, 2013
NPI 1538333497 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
Licenses Licensed in GA · 039353 Licensed in GA · 042048
2910 N DRUID HILLS RD NE, Atlanta, GA 30329

Other Identifiers 3

Medicaid000662219EGA
Medicare PINGRP4906GA
Medicare UPING11650GA

Other Providers at the Same Location NPPES 11

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

Dentist
2910 N DRUID HILLS RD NE, SUITE B
ATLANTA, GA 30329
Dentist (General Practice)
2910 N DRUID HILLS RD NE, SUITE K
ATLANTA, GA 30329
Counselor (Professional)
2910 N DRUID HILLS RD NE, SUITES E& J
ATLANTA, GA 30329
Occupational Therapist
2910 N DRUID HILLS RD NE, SUITE L
ATLANTA, GA 30329
Dentist (General Practice)
2910 N DRUID HILLS RD NE, SUITE K
ATLANTA, GA 30329
Specialist
2910 N DRUID HILLS RD NE, SUITE M
ATLANTA, GA 30329
Counselor (Professional)
2910 N DRUID HILLS RD NE, SUITES E & J
ATLANTA, GA 30329
Counselor (Mental Health)
2910 N DRUID HILLS RD NE, SUITE J
ATLANTA, GA 30329

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 Lavista Family Medicine's NPI number?

The NPI number for Lavista Family Medicine is 1538333497. It was assigned to this organization in the NPPES registry on April 22, 2008.

Where is Lavista Family Medicine located?

Lavista Family Medicine is located at 2910 N Druid Hills Rd NE Suite A, Atlanta, GA 30329. The listed phone number is (404) 320-6050.

What is Lavista Family Medicine's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for Lavista Family Medicine was last updated on October 24, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.