FAMILY MEDICAL CLINIC OF SNELLVILLE
NPI 1568628618
Clinic/Center - Primary Care in Snellville, GA

NPI Status: Active since July 29, 2008

Contact Information

3891 STONE MOUNTAIN HWY
SNELLVILLE, GA
ZIP 30039
Phone: (770) 972-4764
Fax: (770) 972-4164

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  • Organization
  • Clinic/Center
  • Primary Care

About FAMILY MEDICAL CLINIC OF SNELLVILLE

This page provides the complete NPI Profile along with additional information for Family Medical Clinic Of Snellville, a primary care provider established in Snellville, Georgia operating as a Clinic/center, focusing in primary care . The healthcare provider is registered in the NPI registry with number 1568628618 assigned on July 2008. The practitioner's primary taxonomy code is 261QP2300X with license number 023958 (GA). The provider is registered as an organization and their NPI record was last updated 10 years ago. The authorized official of this NPI record is Gordon Glenn Freeman M.d. (President)

NPI
1568628618
Provider Name
FAMILY MEDICAL CLINIC OF SNELLVILLE
Entity Type
Organization
Location Address
3891 STONE MOUNTAIN HWY SNELLVILLE, GA 30039
Location Phone
(770) 972-4764
Location Fax
(770) 972-4164
Mailing Address
3891 STONE MOUNTAIN HWY SNELLVILLE, GA 30039
Mailing Phone
(770) 972-4764
Mailing Fax
(770) 972-4164
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-29-2008
Last Update Date
06-10-2015
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A primary care provider (PCP) like Family Medical Clinic Of Snellville sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Primary Care

Taxonomy Code
261QP2300X
Type
Ambulatory Health Care Facilities
License No.
023958
License State
GA

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

GORDON GLENN FREEMAN M.D.

Authorized Official Title
PRESIDENT
Authorized Official Phone
(770) 972-4764

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
4073314OTHER (01)GAAETNA PROVIDER ID
511G700755MEDICARE PIN (08)GA 
1083652267OTHER (01)IND. NPI
52260821001OTHER (01)GABC PROVIDER ID

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1568628618
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
251281221662
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 1 + 2 + 8 + 1 + 2 + 2 + 1 + 6 + 6 + 2 + 24 = 62
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 62 = 88

The NPI number 1568628618 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1568628618, enumerated in the NPI registry as an "organization" on July 29, 2008

The provider is located at 3891 Stone Mountain Hwy Snellville, Ga 30039 and the phone number is (770) 972-4764

This medical organization specializes in Clinic/Center with taxonomy code 261QP2300X with a focus in Primary Care

The provider might be accepting Accepts: Aetna, Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on July 29, 2008. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.