HERITAGE FAMILY PRACTICE, LLC
NPI 1912933615
Family Medicine in Mcdonough, GA

Active since June 24, 2006
1010 PENNSYLVANIA AVE, MCDONOUGH, GA 30253(770) 288-3883(770) 288-3885 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Heritage Family Practice, Llc NPPES

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

HERITAGE FAMILY PRACTICE, LLC (NPI 1912933615) is a healthcare organization registered as a family medicine in Mcdonough, Georgia and active in the NPI registry since June 2006. The organization lists Mary Teju Guest, Physician, as its authorized official.

NPPES Registry Identity

NPI1912933615
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameHERITAGE FAMILY PRACTICE, LLC
Location Address1010 PENNSYLVANIA AVEMcdonough, GA 30253-9101
Mailing Address1010 Pennsylvania AveMcdonough, GA 30253-9101 · (770) 288-3883 · Fax (770) 288-3885
Fax(770) 288-3885
Organization SubpartNo
Authorized OfficialMary Teju GuestPhysician · (770) 288-3883
Enumeration DateJune 24, 2006
Last NPPES UpdateAugust 22, 2020
NPI 1912933615 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 · 055755
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.
1010 PENNSYLVANIA AVE, Mcdonough, GA 30253

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

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 Heritage Family Practice, LLC's NPI number?

The NPI number for Heritage Family Practice, LLC is 1912933615. It was assigned to this organization in the NPPES registry on June 24, 2006.

Where is Heritage Family Practice, LLC located?

Heritage Family Practice, LLC is located at 1010 Pennsylvania Ave, Mcdonough, GA 30253. The listed phone number is (770) 288-3883.

What is Heritage Family Practice, LLC'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 Heritage Family Practice, LLC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.