MS. IRENE RISTIC MD
NPI 1649316464
Family Medicine in Loganville, GA

Q: What is Irene Ristic's NPI number?

The NPI number for Irene Ristic is 1649316464. It was assigned to this individual provider in the NPPES registry on January 29, 2007. The provider is also known as Ms. Irena Ristic MD.

Q: What is Irene Ristic's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Irene Ristic was last updated on May 30, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.

Active since January 29, 2007

902 ATHENS HWY, LOGANVILLE, GA 30052(770) 554-5533(770) 554-8129 Get Directions Write a Review

NPPES record last updated: May 30, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Ms. Irene Ristic Md NPPES

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

MS. IRENE RISTIC MD (NPI 1649316464) is an individual family medicine provider in Loganville, Georgia, licensed in Georgia (037660) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1649316464

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameMS. IRENE RISTICCredential: MD

Location Address902 ATHENS HWYLoganville, GA 30052-4904

Mailing Address225 Mayfield Farms DrLawrenceville, GA 30043-6161 · (770) 271-2654

Phone(770) 554-5533

Fax(770) 554-8129

Sole ProprietorYes

Enumeration DateJanuary 29, 2007

Last NPPES UpdateMay 30, 2012

✔ NPI 1649316464 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in GA · 037660

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.

902 ATHENS HWY, Loganville, GA 30052

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Other Names 1

Former Name (1)Ms. Irena Ristic Md

Other Identifiers 3

Medicare ID-Type Unspecified93BDFRQGA

Medicare UPINF70257GA

Medicaid00572448BGA

Other Providers at the Same Location NPPES 2

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

MED FAST PC

Clinic/Center (Primary Care)

902 ATHENS HWY
LOGANVILLE, GA 30052

Gwinnett County (770) 554-5533

ELIZABETH MIKRUT MD

Family Medicine

902 ATHENS HWY
LOGANVILLE, GA 30052

Gwinnett County (770) 554-5533

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 Irene Ristic's NPI number?

The NPI number for Irene Ristic is 1649316464. It was assigned to this individual provider in the NPPES registry on January 29, 2007. The provider is also known as Ms. Irena Ristic MD.

Where is Irene Ristic located?

Irene Ristic practices at 902 Athens Hwy, Loganville, GA 30052. The listed phone number is (770) 554-5533.

What is Irene Ristic'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 Irene Ristic was last updated on May 30, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.