CLINICA MEDICA FAMILIAR, LLP
NPI 1619101813
Obstetrics & Gynecology in Riverdale, GA

Active since May 04, 2009
189 MEDICAL WAY, SUITE B, RIVERDALE, GA 30274(770) 996-9681(770) 996-9683 Get Directions Write a Review

NPPES record last updated: May 4, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Clinica Medica Familiar, Llp NPPES

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

CLINICA MEDICA FAMILIAR, LLP (NPI 1619101813) is a healthcare organization registered as an obstetrics & gynecology in Riverdale, Georgia and active in the NPI registry since May 2009. The organization lists Jack Patrick Dourron, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1619101813
Entity TypeOrganization
Primary Taxonomy207V00000X
Legal Business NameCLINICA MEDICA FAMILIAR, LLP
Location Address189 MEDICAL WAY, SUITE BRiverdale, GA 30274-4905
Mailing Address189 Medical Way, Suite BRiverdale, GA 30274-4905 · (770) 996-9681 · Fax (770) 996-9683
Fax(770) 996-9683
Organization SubpartNo
Authorized OfficialJack Patrick DourronOffice Manager · (770) 996-9681
Enumeration DateMay 4, 2009
NPI 1619101813 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License Licensed in GA · 014308
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
Also ListedFamily MedicineTaxonomy 207Q00000X · License 027722 (GA)
189 MEDICAL WAY, Riverdale, GA 30274

Other Identifiers 1

Medicaid000136958IGA

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

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

General Practice
189 MEDICAL WAY, SUITE B
RIVERDALE, GA 30274
Obstetrics & Gynecology
189 MEDICAL WAY, SUITE B
RIVERDALE, GA 30274
Clinic/Center (Primary Care)
189 MEDICAL WAY, SUITE C
RIVERDALE, GA 30274

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 Clinica Medica Familiar, LLP's NPI number?

The NPI number for Clinica Medica Familiar, LLP is 1619101813. It was assigned to this organization in the NPPES registry on May 4, 2009.

Where is Clinica Medica Familiar, LLP located?

Clinica Medica Familiar, LLP is located at 189 Medical Way Suite B, Riverdale, GA 30274. The listed phone number is (770) 996-9681.

What is Clinica Medica Familiar, LLP's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

When was this NPI record last updated?

The NPPES record for Clinica Medica Familiar, LLP was last updated on May 4, 2009. 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.