MAIN STREET FAMILY PHYSICIANS
NPI 1881730455
Family Medicine in Acworth, GA

Q: What is Kennesaw Family Physicians PC's NPI number?

The NPI number for Kennesaw Family Physicians PC is 1881730455. It was assigned to this organization in the NPPES registry on January 30, 2007. The provider is doing business as Main Street Family Physicians.

Q: What is Kennesaw Family Physicians PC's specialty?

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

Active since January 30, 2007

4791 S MAIN ST, ACWORTH, GA 30101(770) 422-1400(678) 290-6728 Get Directions Write a Review

NPPES record last updated: October 22, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Main Street Family Physicians NPPES

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

MAIN STREET FAMILY PHYSICIANS (NPI 1881730455) is a healthcare organization registered as a family medicine in Acworth, Georgia and active in the NPI registry since January 2007. The organization lists Connie H. Keller, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1881730455

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameKENNESAW FAMILY PHYSICIANS PC

Location Address4791 S MAIN STAcworth, GA 30101-5324

Mailing Address4791 S Main StAcworth, GA 30101-5324 · (770) 422-1400 · Fax (678) 290-6728

Phone(770) 422-1400

Fax(678) 290-6728

Organization SubpartNo

Authorized OfficialConnie H. KellerOffice Manager · (770) 422-1400

Enumeration DateJanuary 30, 2007

Last NPPES UpdateOctober 22, 2012

✔ NPI 1881730455 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 · 581584420

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.

4791 S MAIN ST, Acworth, GA 30101

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Other Names 1

Doing Business AsMain Street Family Physicians

Other Identifiers 2

Medicare ID-Type UnspecifiedGRP810GA · Medicare

Medicaid085000643GGA

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

Other Providers at the Same Location NPPES 6

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

DR. EDWARD A. LLOYD M.D.

Family Medicine