MOUNTAIN EAST FAMILY MEDICINE PC
NPI 1598971780
Family Medicine in Lilburn, GA

Active since May 15, 2007
4120 FIVE FORKS TRICKUM RD SW, SUITE 105, LILBURN, GA 30047(770) 921-6900(770) 921-6313 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mountain East Family Medicine Pc NPPES

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

MOUNTAIN EAST FAMILY MEDICINE PC (NPI 1598971780) is a healthcare organization registered as a family medicine in Lilburn, Georgia and active in the NPI registry since May 2007. The organization lists Scott T Keller, President, as its authorized official.

NPPES Registry Identity

NPI1598971780
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameMOUNTAIN EAST FAMILY MEDICINE PC
Location Address4120 FIVE FORKS TRICKUM RD SW, SUITE 105Lilburn, GA 30047-3130
Mailing Address4120 Five Forks Trickum Rd Sw, Suite 105Lilburn, GA 30047-3130 · (770) 921-6900 · Fax (770) 921-6313
Fax(770) 921-6313
Organization SubpartNo
Authorized OfficialScott T KellerPresident · (770) 921-6900
Enumeration DateMay 15, 2007
Last NPPES UpdateAugust 22, 2020
NPI 1598971780 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
4120 FIVE FORKS TRICKUM RD SW, Lilburn, GA 30047

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 10

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

Family Medicine
4120 FIVE FORKS TRICKUM RD SW
LILBURN, GA 30047
Nurse Practitioner (Family)
4120 FIVE FORKS TRICKUM RD SW
LILBURN, GA 30047
Family Medicine
4120 FIVE FORKS TRICKUM RD SW
LILBURN, GA 30047
Pediatrics
4120 FIVE FORKS TRICKUM RD SW, STE 102
LILBURN, GA 30047
Internal Medicine (Cardiovascular Disease)
4120 FIVE FORKS TRICKUM RD SW, SUITE 103
LILBURN, GA 30047
Family Medicine
4120 FIVE FORKS TRICKUM RD SW, SUITE 105
LILBURN, GA 30047
Family Medicine
4120 FIVE FORKS TRICKUM RD SW
LILBURN, GA 30047
Family Medicine
4120 FIVE FORKS TRICKUM RD SW, STE 105
LILBURN, GA 30047

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 East Family Medicine PC's NPI number?

The NPI number for Mountain East Family Medicine PC is 1598971780. It was assigned to this organization in the NPPES registry on May 15, 2007.

Where is Mountain East Family Medicine PC located?

Mountain East Family Medicine PC is located at 4120 Five Forks Trickum Rd SW Suite 105, Lilburn, GA 30047. The listed phone number is (770) 921-6900.

What is Mountain East Family Medicine PC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Mountain East Family Medicine PC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.