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FAMILY PRACTICE OF CONYERS INC
NPI 1720146301
Family Medicine in Conyers, GA

Active since December 05, 2006
1039 E FREEWAY DR SE, CONYERS, GA 30094(770) 922-0076(770) 922-0734 Get Directions Write a Review

NPPES record last updated: June 20, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 20, 2023, May 29, 2020 (2 updates tracked since 2020).

About Family Practice Of Conyers Inc NPPES

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

FAMILY PRACTICE OF CONYERS INC (NPI 1720146301) is a healthcare organization registered as a family medicine in Conyers, Georgia and active in the NPI registry since December 2006. The organization lists Alvin Vincent Griffin, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1720146301
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameFAMILY PRACTICE OF CONYERS INC
Location Address1039 E FREEWAY DR SEConyers, GA 30094-5965
Mailing Address1039 E Freeway Dr SeConyers, GA 30094-5965 · (770) 922-0076 · Fax (770) 922-0734
Phone(770) 922-0076
Fax(770) 922-0734
Organization SubpartNo
Authorized OfficialAlvin Vincent GriffinMedical Director · (770) 922-0076
Enumeration DateDecember 5, 2006
Last NPPES UpdateJune 20, 20232 updates tracked since enumeration
NPPES CertifiedJune 20, 2023
✔ NPI 1720146301 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.
1039 E FREEWAY DR SE, Conyers, GA 30094
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Other Identifiers 1

Medicaid00412849IGA

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Family Practice Of Conyers Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Family Practice Of Conyers Inc, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Alvin Griffin, M.D.
Family Practice
NPI 1033102868
1039 E FREEWAY DR SE
Conyers, GA 30094
(770) 922-0076
✔ PECOS0.1 mi
Erica Neely, FNP-C
Nurse Practitioner
NPI 1710627948
1039 E FREEWAY DR SE
Conyers, GA 30094
(833) 523-0906
✔ PECOS✔ Accepts Medicare0.1 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Family Practice Of Conyers Inc's NPI number?

The NPI number for Family Practice Of Conyers Inc is 1720146301. It was assigned to this organization in the NPPES registry on December 5, 2006.

Where is Family Practice Of Conyers Inc located?

Family Practice Of Conyers Inc is located at 1039 E Freeway Dr SE, Conyers, GA 30094. The listed phone number is (770) 922-0076.

What is Family Practice Of Conyers Inc's specialty?

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

Is Family Practice Of Conyers Inc enrolled in Medicare?

Yes. Family Practice Of Conyers Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Family Practice Of Conyers Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Family Practice Of Conyers Inc, in Family Practice and Nurse Practitioner. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Family Practice Of Conyers Inc was last updated on June 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.