MAYUGA FAMILY MEDICINE LLC
NPI 1972203735
Clinic/Center - Primary Care in Jonesboro, GA

Active since March 09, 2023
236B STOCKBRIDGE RD, JONESBORO, GA 30236(770) 742-9326(862) 298-0871 Get Directions Write a Review

NPPES record last updated: March 13, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 13, 2023, Mar 9, 2023 (2 updates tracked since 2023).

About Mayuga Family Medicine Llc NPPES

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

MAYUGA FAMILY MEDICINE LLC (NPI 1972203735) is a healthcare organization registered as a primary care in Jonesboro, Georgia and active in the NPI registry since March 2023. The organization lists Tom John Albunian Mayuga, Owner, as its authorized official.

NPPES Registry Identity

NPI1972203735
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameMAYUGA FAMILY MEDICINE LLC
Location Address236B STOCKBRIDGE RDJonesboro, GA 30236-3629
Mailing Address1575 Harvest LnAlpharetta, GA 30004-6741 · (770) 742-9326 · Fax (862) 298-0871
Fax(862) 298-0871
Organization SubpartNo
Authorized OfficialTom John Albunian MayugaOwner · (770) 742-9326
Enumeration DateMarch 9, 2023
Last NPPES UpdateMarch 13, 20232 updates tracked since enumeration
NPPES CertifiedMarch 13, 2023
NPI 1972203735 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
236B STOCKBRIDGE RD, Jonesboro, GA 30236

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 Mayuga Family Medicine LLC's NPI number?

The NPI number for Mayuga Family Medicine LLC is 1972203735. It was assigned to this organization in the NPPES registry on March 9, 2023.

Where is Mayuga Family Medicine LLC located?

Mayuga Family Medicine LLC is located at 236B Stockbridge Rd, Jonesboro, GA 30236. The listed phone number is (770) 742-9326.

What is Mayuga Family Medicine 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 Mayuga Family Medicine LLC was last updated on March 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.