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OAK TREE FAMILY MEDICINE, PC
NPI 1548413206
Preferred Provider Organization in Johns Creek, GA

Active since October 28, 2008CLIA 11D1089261 · Microscopy
6335 HOSPITAL PKWY, STE 101, JOHNS CREEK, GA 30097(770) 814-9672(770) 814-9673 Get Directions Write a Review

NPPES record last updated: October 28, 2008. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Oak Tree Family Medicine, Pc NPPES

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

OAK TREE FAMILY MEDICINE, PC (NPI 1548413206) is a healthcare organization registered as a preferred provider organization in Johns Creek, Georgia and active in the NPI registry since October 2008. The organization holds a CLIA Microscopy certificate valid through September 14, 2028 and lists Jun H Ro, President, as its authorized official.

NPPES Registry Identity

NPI1548413206
Entity TypeOrganization
Primary Taxonomy305R00000X
Legal Business NameOAK TREE FAMILY MEDICINE, PC
Location Address6335 HOSPITAL PKWY, STE 101Johns Creek, GA 30097-1550
Mailing Address6335 Hospital Pkwy Ste 101Johns Creek, GA 30097-1550 · (770) 814-9672 · Fax (770) 814-9673
Phone(770) 814-9672
Fax(770) 814-9673
Organization SubpartNo
Authorized OfficialJun H RoPresident · (770) 814-9672
Enumeration DateOctober 28, 2008
✔ NPI 1548413206 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPreferred Provider OrganizationManaged Care Organizations
Taxonomy Code305R00000X
License✔ Licensed in GA · 050671
Definition
A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.
6335 HOSPITAL PKWY, Johns Creek, GA 30097
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Oak Tree Family Medicine, Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Oak Tree Family Medicine, PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Jun Ro, M.D.
Family Practice
NPI 1669404760
6335 HOSPITAL PKWY STE 101
Johns Creek, GA 30097
(770) 814-9672
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 11D1089261

Oak Tree Family Medicine · Duluth, GA
Active · expires Sep 14, 2028
CLIA Number11D1089261
Laboratory TypePhysician Office
Certificate Effective DateSeptember 15, 2026
Certificate Expiration DateSeptember 14, 2028
Laboratory DirectorJun Ro
Laboratory Phone(770) 814-9672
Laboratory LocationOak Tree Family Medicine6335 Hospital Parkway Suite 101, Duluth, GA 30097
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

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 Oak Tree Family Medicine, PC's NPI number?

The NPI number for Oak Tree Family Medicine, PC is 1548413206. It was assigned to this organization in the NPPES registry on October 28, 2008.

Where is Oak Tree Family Medicine, PC located?

Oak Tree Family Medicine, PC is located at 6335 Hospital Pkwy Ste 101, Johns Creek, GA 30097. The listed phone number is (770) 814-9672.

What is Oak Tree Family Medicine, PC's specialty?

The primary specialty registered for this NPI is Preferred Provider Organization with taxonomy code 305R00000X.

Is Oak Tree Family Medicine, PC enrolled in Medicare?

Yes. Oak Tree Family Medicine, PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Oak Tree Family Medicine, PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Oak Tree Family Medicine, PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Oak Tree Family Medicine, PC hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 11D1089261) is associated with this NPI, valid through September 14, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Oak Tree Family Medicine, PC was last updated on October 28, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.