MOUNTAIN EAST FAMILY MEDICINE
NPI 1891737425
Family Medicine in Lilburn, GA

Active since June 11, 2006
4120 FIVE FORKS TRICKUM RD SW, SUITE 105, LILBURN, GA 30047(770) 921-6900 Get Directions Write a Review

NPPES record last updated: August 29, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mountain East Family Medicine NPPES

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

MOUNTAIN EAST FAMILY MEDICINE (NPI 1891737425) is a healthcare organization registered as a family medicine in Lilburn, Georgia and active in the NPI registry since June 2006. The organization lists Chuck Locke, Vp, as its authorized official.

NPPES Registry Identity

NPI1891737425
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameGREATER GWINNETT PHYSICIAN PRACTICE COMPANY
Location Address4120 FIVE FORKS TRICKUM RD SW, SUITE 105Lilburn, GA 30047-3130
Mailing Address4120 Five Forks Trickum Rd Sw, Suite 105Lilburn, GA 30047-3130 · (770) 921-6900
Organization SubpartNo
Authorized OfficialChuck LockeVp · (800) 661-3365
Enumeration DateJune 11, 2006
Last NPPES UpdateAugust 29, 2007
NPI 1891737425 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
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.
4120 FIVE FORKS TRICKUM RD SW, Lilburn, GA 30047

Other Names 1

Doing Business AsMountain East Family Medicine

Other Identifiers 2

Medicare ID-Type UnspecifiedGRP3053GA · Cahaba Medicare/ Ga Medic
Medicare ID-Type UnspecifiedCH1940GA · Railroad Medicare

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 10

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

Family Medicine
4120 FIVE FORKS TRICKUM RD SW
LILBURN, GA 30047
Nurse Practitioner (Family)
4120 FIVE FORKS TRICKUM RD SW
LILBURN, GA 30047
Family Medicine
4120 FIVE FORKS TRICKUM RD SW
LILBURN, GA 30047
Pediatrics
4120 FIVE FORKS TRICKUM RD SW, STE 102
LILBURN, GA 30047
Internal Medicine (Cardiovascular Disease)
4120 FIVE FORKS TRICKUM RD SW, SUITE 103
LILBURN, GA 30047
Family Medicine
4120 FIVE FORKS TRICKUM RD SW, SUITE 105
LILBURN, GA 30047
Family Medicine
4120 FIVE FORKS TRICKUM RD SW, SUITE 105
LILBURN, GA 30047
Family Medicine
4120 FIVE FORKS TRICKUM RD SW
LILBURN, GA 30047

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 Greater Gwinnett Physician Practice Company's NPI number?

The NPI number for Greater Gwinnett Physician Practice Company is 1891737425. It was assigned to this organization in the NPPES registry on June 11, 2006. The provider is doing business as Mountain East Family Medicine.

Where is Greater Gwinnett Physician Practice Company located?

Greater Gwinnett Physician Practice Company is located at 4120 Five Forks Trickum Rd SW Suite 105, Lilburn, GA 30047. The listed phone number is (770) 921-6900.

What is Greater Gwinnett Physician Practice Company's specialty?

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

When was this NPI record last updated?

The NPPES record for Greater Gwinnett Physician Practice Company was last updated on August 29, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.