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JUBILEE PRIMARY CARE PC
NPI 1891393005
Family Medicine - Addiction Medicine in Suwanee, GA

Active since October 12, 2020
3312 HEATHCHASE LN, SUWANEE, GA 30024(678) 783-4860(678) 940-0509 Get Directions Write a Review

NPPES record last updated: October 30, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 30, 2020, Oct 12, 2020 (2 updates tracked since 2020).

About Jubilee Primary Care Pc NPPES

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

JUBILEE PRIMARY CARE PC (NPI 1891393005) is a healthcare organization registered as an addiction medicine in Suwanee, Georgia and active in the NPI registry since October 2020. The organization lists Avril Patrice Daisley Shongo, Provider, as its authorized official.

NPPES Registry Identity

NPI1891393005
Entity TypeOrganization
Primary Taxonomy207QA0401X
Legal Business NameJUBILEE PRIMARY CARE PC
Location Address3312 HEATHCHASE LNSuwanee, GA 30024-4639
Mailing Address2090 Lawrenceville Suwanee Rd, Suite A#519Suwanee, GA 30024 · (678) 783-4860
Phone(678) 783-4860
Fax(678) 940-0509
Organization SubpartNo
Authorized OfficialAvril Patrice Daisley ShongoProvider · (678) 783-4860
Enumeration DateOctober 12, 2020
Last NPPES UpdateOctober 30, 20202 updates tracked since enumeration
NPPES CertifiedOctober 30, 2020
✔ NPI 1891393005 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Addiction MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QA0401X
Definition

A family medicine physician who specializes in the diagnosis and treatment of addictions.

3312 HEATHCHASE LN, Suwanee, GA 30024
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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 2

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

HILAIRE SHONGO-HIANGO MD
Psychiatry & Neurology (Addiction Psychiatry)
3312 HEATHCHASE LN
SUWANEE, GA 30024
Gwinnett County (678) 634-5539
AVRIL PATRICE DAISLEY SHONGO MD
Family Medicine
3312 HEATHCHASE LN, ADDRESS LINE 2
SUWANEE, GA 30024
Gwinnett County (678) 783-4860

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 Jubilee Primary Care PC's NPI number?

The NPI number for Jubilee Primary Care PC is 1891393005. It was assigned to this organization in the NPPES registry on October 12, 2020.

Where is Jubilee Primary Care PC located?

Jubilee Primary Care PC is located at 3312 Heathchase Ln, Suwanee, GA 30024. The listed phone number is (678) 783-4860.

What is Jubilee Primary Care PC's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Addiction Medicine, with taxonomy code 207QA0401X.

When was this NPI record last updated?

The NPPES record for Jubilee Primary Care PC was last updated on October 30, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.