FAMILY PRACTICE OF ATLANTA LLC
NPI 1790966976
Clinic/Center - Primary Care in Decatur, GA

Active since November 16, 2007
1428 SCOTT BLVD, DECATUR, GA 30030(404) 296-8100(404) 294-8467 Get Directions Write a Review

NPPES record last updated: March 4, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Family Practice Of Atlanta Llc NPPES

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

FAMILY PRACTICE OF ATLANTA LLC (NPI 1790966976) is a healthcare organization registered as a primary care in Decatur, Georgia and active in the NPI registry since November 2007. The organization lists Sondi Saddia Moore-waters, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1790966976
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameFAMILY PRACTICE OF ATLANTA LLC
Location Address1428 SCOTT BLVDDecatur, GA 30030-1424
Mailing Address1428 Scott BlvdDecatur, GA 30030-1424 · (404) 296-8100 · Fax (404) 294-8467
Fax(404) 294-8467
Organization SubpartNo
Authorized OfficialSondi Saddia Moore-watersMedical Director · (404) 296-8100
Enumeration DateNovember 16, 2007
Last NPPES UpdateMarch 4, 2010
NPI 1790966976 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License Licensed in GA · 031294
1428 SCOTT BLVD, Decatur, GA 30030

Other Identifiers 1

OtherGRP6402GA · Medicare Group

Other Providers at the Same Location NPPES 4

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

Pharmacy (Community/Retail Pharmacy)
1428 SCOTT BLVD
DECATUR, GA 30030
Pharmacist
1428 SCOTT BLVD
DECATUR, GA 30030
Clinical Medical Laboratory
1428 SCOTT BLVD
DECATUR, GA 30030
Pharmacist
1428 SCOTT BLVD
DECATUR, GA 30030

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 Atlanta LLC's NPI number?

The NPI number for Family Practice Of Atlanta LLC is 1790966976. It was assigned to this organization in the NPPES registry on November 16, 2007.

Where is Family Practice Of Atlanta LLC located?

Family Practice Of Atlanta LLC is located at 1428 Scott Blvd, Decatur, GA 30030. The listed phone number is (404) 296-8100.

What is Family Practice Of Atlanta LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for Family Practice Of Atlanta LLC was last updated on March 4, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.