NORTH FAYETTE FAMILY PRACTICE


Address: 101 Devant St, Suite 902, Fayetteville, GA 30214-2710
Phone: 7707168228

NORTH FAYETTE FAMILY PRACTICE (NPI# 1053683359) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1053683359
Entity Type Organization
Organization Name NORTH FAYETTE FAMILY PRACTICE
Practice Address 101 Devant St
Suite 902
Fayetteville
GA 30214-2710
Practice Telephone 7707168228
Practice Fax Number 7707166588
Mailing Telephone 7707168228
Mailing Fax Number 7707166588
Enumeration Date 2012-02-01
Last Update Date 2012-11-05
Authorized Official Name MICHELLE JONES-MARTIN (PRACTICE ADMINISTRATOR)
Authorized Official Telephone 8038079533
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Q00000X Family Medicine 33753 GA Allopathic & Osteopathic Physicians

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1154431732 North Fayette Family Practice Medical Genetics, Ph.D. Medical Genetics 290 Highway 314 Ste B, Fayetteville, GA 30214-7813 2006-08-30

Office Location

Street Address 101 DEVANT ST
SUITE 902
City FAYETTEVILLE
State GA
Zip Code 30214-2710

Providers in the same location

NPI Name Taxonomy Address Enumeration
1689676157 Ginari Gibb Price Psychiatry & Neurology 101 Devant St, Ste 504, Fayetteville, GA 30214 2005-08-13
1972018117 Natalie Bernett Bonner Nurse Practitioner 101 Devant St, Fayetteville, GA 30214-2710 2017-12-11
1447638945 Natalie Generally Music Therapist 101 Devant St, Suite 703, Fayetteville, GA 30214-2710 2015-05-15
1174901672 Small Steps Music, L.L.C. Music Therapist 101 Devant St, Suite 703, Fayetteville, GA 30214-2710 2015-05-15
1578827606 The Progressive Counseling and Therapy Center, LLC Community/Behavioral Health 101 Devant St, Suite 606, Fayetteville, GA 30214-2710 2012-07-04
1417217092 Willie James Campbell Sr. Social Worker 101 Devant St, Suite 606, Fayetteville, GA 30214-2710 2012-05-17
1144593021 Living Well Primary Care, LLC Family Medicine 101 Devant St, Suite 902, Fayetteville, GA 30214-2710 2012-02-22
1073884482 Agape Speech Therapy, LLC Speech-Language Pathologist 101 Devant St, Suite 703, Fayetteville, GA 30214-2710 2012-01-17
1033405659 Linda H Radcliffe Speech-Language Pathologist 101 Devant St, Suite 703, Fayetteville, GA 30214-2710 2011-06-22
1710270343 Williams Medical, Inc. Clinic/Center 101 Devant St, Suite 903, Fayetteville, GA 30214-2710 2011-05-16
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1548872468 Phyllis Kelly Wood Nurse Practitioner 217 Banks Rd, Suite 31, Fayetteville, GA 30214 2020-08-21
1073139317 Tyisha Salter Scott Counselor 110 Habersham Drive, Suite 142, Fayetteville, GA 30214 2020-06-23
1194341412 Camille Franncine Bolton Physical Therapist 500 Floy Farr Parkway, Suite 303, Fayetteville, GA 30214 2020-06-23
1205465895 Gillian Vaughan Heard Physician Assistant 1275 Ga-54 #201, Fayetteville, GA 30214 2020-04-06
1881234557 Peach Fits,inc Mastectomy Fitter 285 Glynn Street South, Suites 102 and 104, Fayetteville, GA 30214 2020-01-10
1255981072 Delta Healthcare Providers Clinic/Center 1275 W Lanier Ave, #200, Fayetteville, GA 30214 2019-09-13
1861965592 Hierarchy for Wellness Specialist 805 S Glynn St Bldg 127 142, Fayetteville, GA 30214 2019-01-04
1356810634 Fayette Dental Group PC Clinic/Center 720 W Lanier Ave, Fayetteville, GA 30214 2018-11-16
1891263299 Mattie Mae Farmer Clark Specialist/Technologist, Other Piedmont Fayette Hospital, 1255 Highway 54 West, Fayetteville, GA 30214 2018-11-05
1093293607 Allyson Holland Pharmacist 880 Highway 85 South, Fayetteville, GA 30214 2018-08-06
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Taxonomy Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy 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.
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition]
- Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences.
- Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1376169185 Raheem Lalani Family Medicine 230 Fieldstone Way, Fayetteville, GA 30215-8170 2020-06-18
1821619370 Kelly R. Mccarty Family Medicine 5872 W Bannister Dr, Fayetteville, AR 72704-6536 2020-05-06
1720620230 Vector Health and Wellness, LLC Family Medicine 1267 N Steamboat Dr Ste 3, Fayetteville, AR 72704-7148 2019-10-16
1295382182 Nimota Motunrayo Akintoye Family Medicine 140 Briergate Pl, Fayetteville, GA 30214-3931 2019-08-24
1609332725 Fastmed Health Nc, Pllc Family Medicine 150 Francam Dr, Fayetteville, NC 28311-4500 2019-02-13
1013486638 K E Management Services Family Medicine 1420 E Augustine Ln Ste 7, Fayetteville, AR 72703-4995 2018-11-14
1659896751 Melissa Holt Family Medicine 108 Medical Center Blvd Ste G-50, Fayetteville, TN 37334-2741 2017-08-09
1124477484 Mark William Guelzow Family Medicine 4101 Medical Center Dr Ste 1c, Fayetteville, NY 13066-6600 2016-06-08
1962865659 Tracie Fullove Family Medicine 3162 W Martin Luther King Blvd Ste 13-14, Fayetteville, AR 72704-7679 2016-03-31
1053778936 Linda Nancy Robinson Family Medicine 7107 Thorntree Hill Dr, Fayetteville, NY 13066-9790 2016-01-22
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Competitor

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City FAYETTEVILLE
Zip Code 30214

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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