SOUTH ATLANTA PRIMARY CARE PC
NPI 1710183454
Legal Medicine in Jonesboro, GA

Q: What is South Atlanta Primary Care PC's NPI number?

The NPI number for South Atlanta Primary Care PC is 1710183454. It was assigned to this organization in the NPPES registry on June 21, 2007.

Q: What is South Atlanta Primary Care PC's specialty?

The primary specialty registered for this NPI is Legal Medicine with taxonomy code 173000000X.

Active since June 21, 2007

6568A TARA BLVD, JONESBORO, GA 30236(770) 968-7933(770) 968-6521 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About South Atlanta Primary Care Pc NPPES

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

SOUTH ATLANTA PRIMARY CARE PC (NPI 1710183454) is a healthcare organization registered as a legal medicine in Jonesboro, Georgia and active in the NPI registry since June 2007. The organization lists Michael Angel Dicristina, Physician Owner, as its authorized official.

NPPES Registry Identity

NPI1710183454

Entity TypeOrganization

Primary Taxonomy173000000X

Legal Business NameSOUTH ATLANTA PRIMARY CARE PC

Location Address6568A TARA BLVDJonesboro, GA 30236-1228

Mailing Address6568a Tara BlvdJonesboro, GA 30236-1228 · (770) 968-7933 · Fax (770) 968-6521

Phone(770) 968-7933

Fax(770) 968-6521

Organization SubpartNo

Authorized OfficialMichael Angel DicristinaPhysician Owner · (770) 968-7933

Enumeration DateJune 21, 2007

Last NPPES UpdateAugust 22, 2020

✔ NPI 1710183454 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLegal MedicineOther Service Providers

Taxonomy Code173000000X

License✔ Licensed in GA · 022223

Definition

The specialty areas of medicine concerned with matters of, and relations with, substantive law and legal institutions; such as the conduct of medical examinations at crime scenes, performance of autopsies, giving of expert medical testimony in judicial proceedings, medical treatment of inmates of penal institutions, the practice of trauma medicine in law enforcement settings, and other clinical practice and medical science applications in the fields of law, law enforcement, and corrections.

6568A TARA BLVD, Jonesboro, GA 30236

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Other Identifiers 1

Other1144226135GA · Ind Npi Number

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Other Providers at the Same Location NPPES

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

ABC HEALTHCARE OF AMERICA, LLC.

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

6568A TARA BLVD
JONESBORO, GA 30236

Clayton County (678) 612-2395

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 South Atlanta Primary Care PC's NPI number?

The NPI number for South Atlanta Primary Care PC is 1710183454. It was assigned to this organization in the NPPES registry on June 21, 2007.

Where is South Atlanta Primary Care PC located?

South Atlanta Primary Care PC is located at 6568A Tara Blvd, Jonesboro, GA 30236. The listed phone number is (770) 968-7933.

What is South Atlanta Primary Care PC's specialty?

The primary specialty registered for this NPI is Legal Medicine with taxonomy code 173000000X.

What insurance does South Atlanta Primary Care PC accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list South Atlanta Primary Care PC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for South Atlanta Primary Care 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 5 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.