COMMUNITY CARE MD
NPI 1730221649
Clinic/Center in Tucker, GA

Active since February 14, 2007
5019 LAVISTA RD, TUCKER, GA 30084(678) 720-0422(678) 720-0440 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Community Care Md NPPES

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

COMMUNITY CARE MD (NPI 1730221649) is a healthcare organization registered as a clinic/center in Tucker, Georgia and active in the NPI registry since February 2007. The organization lists Jane A Ling, Director Of Op, as its authorized official.

NPPES Registry Identity

NPI1730221649
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameCOMMUNITY CARE MD
Location Address5019 LAVISTA RDTucker, GA 30084-3541
Mailing Address5019 Lavista RdTucker, GA 30084-3541 · (678) 720-0422 · Fax (678) 720-0440
Fax(678) 720-0440
Organization SubpartNo
Authorized OfficialJane A LingDirector Of Op · (678) 720-0422
Enumeration DateFebruary 14, 2007
Last NPPES UpdateAugust 22, 2020
NPI 1730221649 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
License Licensed in GA · 156221
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
5019 LAVISTA RD, Tucker, GA 30084

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.

Internal Medicine
5019 LAVISTA RD
TUCKER, GA 30084
Family Medicine
5019 LAVISTA RD
TUCKER, GA 30084

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 Community Care MD's NPI number?

The NPI number for Community Care MD is 1730221649. It was assigned to this organization in the NPPES registry on February 14, 2007.

Where is Community Care MD located?

Community Care MD is located at 5019 Lavista Rd, Tucker, GA 30084. The listed phone number is (678) 720-0422.

What is Community Care MD's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Community Care MD 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.