Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

PHYSICIAN MANAGEMENT SERVICES OF EASTERN GEORGIA, LLC
NPI 1780125294
Family Medicine in Cumming, GA

Active since March 16, 2017
410 PEACHTREE PKWY, SUITE 4260, CUMMING, GA 30041(888) 829-8550 Get Directions Write a Review

NPPES record last updated: July 24, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 24, 2026, May 21, 2026, Mar 16, 2017 (3 updates tracked since 2017).

About Physician Management Services Of Eastern Georgia, Llc NPPES

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

PHYSICIAN MANAGEMENT SERVICES OF EASTERN GEORGIA, LLC (NPI 1780125294) is a healthcare organization registered as a family medicine in Cumming, Georgia and active in the NPI registry since March 2017. The organization maintains a secondary practice location in Athens and lists Brett Kenefick, President, as its authorized official.

NPPES Registry Identity

NPI1780125294
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NamePHYSICIAN MANAGEMENT SERVICES OF EASTERN GEORGIA, LLC
Location Address410 PEACHTREE PKWY, SUITE 4260Cumming, GA 30041-7066
Mailing Address800 N Magnolia Ave Ste 700, Suite 250Orlando, FL 32803-3264 · (888) 829-8550
Organization SubpartYesParent: Vaxcare Corporation
Authorized OfficialBrett KenefickPresident · (888) 829-8550
Enumeration DateMarch 16, 2017
Last NPPES UpdateJuly 24, 20263 updates tracked since enumeration
NPPES CertifiedJuly 24, 2026
NPI 1780125294 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 · 049380
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.
410 PEACHTREE PKWY, Cumming, GA 30041

Secondary Practice Location 1

Location 1700 Sunset Dr Ste 400AAthens, GA 30606-2293 · Phone (888) 829-8550

Other Identifiers 1

OtherPHC059Medicare Ptan

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

Other Providers at the Same Location NPPES 18

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

Counselor (Professional)
410 PEACHTREE PKWY, BLDG 400, SUITE 4245
CUMMING, GA 30041
Pediatrics
410 PEACHTREE PKWY, SUITE 300
CUMMING, GA 30041
Specialist
410 PEACHTREE PKWY, SUITE 4200
CUMMING, GA 30041
Specialist/Technologist (Athletic Trainer)
410 PEACHTREE PKWY, SUITE 300
CUMMING, GA 30041
Counselor (Pastoral)
410 PEACHTREE PKWY, SUITE 4245
CUMMING, GA 30041
Dentist (Orthodontics and Dentofacial Orthopedics)
410 PEACHTREE PKWY
CUMMING, GA 30041
Rehabilitation Unit
410 PEACHTREE PKWY, SUITE 300
CUMMING, GA 30041
Pediatrics
410 PEACHTREE PKWY, SUITE 300
CUMMING, GA 30041

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 Physician Management Services Of Eastern Georgia, LLC's NPI number?

The NPI number for Physician Management Services Of Eastern Georgia, LLC is 1780125294. It was assigned to this organization in the NPPES registry on March 16, 2017.

Where is Physician Management Services Of Eastern Georgia, LLC located?

Physician Management Services Of Eastern Georgia, LLC is located at 410 Peachtree Pkwy Suite 4260, Cumming, GA 30041. The listed phone number is (888) 829-8550.

What is Physician Management Services Of Eastern Georgia, LLC's specialty?

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

What insurance does Physician Management Services Of Eastern Georgia, LLC accept?

Health plans from Mending Health list Physician Management Services Of Eastern Georgia, LLC 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 Physician Management Services Of Eastern Georgia, LLC was last updated on July 24, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.