AG FAMILY MEDICINE, PC (NPI# 1174783435) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174783435 |
| Entity Type | Organization |
| Organization Name | AG FAMILY MEDICINE, PC |
| Practice Address |
530 Highland Station Dr Suite 2007 Suwanee GA 30024-6571 |
| Practice Telephone | 7706149799 |
| Practice Fax Number | 7706149789 |
| Mailing Telephone | 7706149799 |
| Mailing Fax Number | 7706149789 |
| Enumeration Date | 2008-06-11 |
| Last Update Date | 2012-01-26 |
| Authorized Official Name | DR. CHANG SOO KIM (PRESIDENT) |
| Authorized Official Telephone | 7706149799 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
59806 | GA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 868452174A | 05 |
| Street Address |
530 HIGHLAND STATION DR SUITE 2007 |
| City | SUWANEE |
| State | GA |
| Zip Code | 30024-6571 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932328200 | James Joonchul Choi | Dentist | 530 Highland Station Dr, #1006, Suwanee, GA 30024-6571 | 2007-04-25 |
| 1982964987 | Jc Dental P.C. | Dentist | 530 Highland Station Dr, Suite #1006, Suwanee, GA 30024 | 2012-05-23 |
| 1811274384 | Direct Healthcare Services | In Home Supportive Care | 530 Highland Station Dr, Suite 1005, Suwanee, GA 30024-6571 | 2011-11-10 |
| 1366691784 | Eurina Y Kee | Registered Nurse | 530 Highland Station Dr, Ste 3007, Suwanee, GA 30024-6571 | 2008-09-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356996565 | Stephanie Arkin | Student in an Organized Health Care Education/Training Program | 25 Old Peachtree Rd Nw, Suwanee, GA 30024 | 2019-08-05 |
| 1164989638 | Laquitta Craft | Registered Nurse | 2855 Lawrenceville Suwanee Road Suite 330/340, Suwanee, GA 30024 | 2019-02-21 |
| 1467937235 | Greater Atlanta Monitoring, LLC | Electrodiagnostic Medicine | 3651 Peachtree Ste E. #331, Suwanee, GA 30024 | 2018-09-27 |
| 1760963482 | Esther Natacha Lafontant | Public Health or Welfare | 3205 Maple Terrace Drive, Suwanee, GA 30024 | 2018-08-22 |
| 1740778463 | Immaculate Healthcare Solutions, LLC | Home Health | 970 Peachtree Industrial Blvd Ste 8, Suwanee, GA 30024 | 2018-04-27 |
| 1053819235 | Sean Wonsuk Jang | Chiropractor | 3370 Lawrenceville Suwanee Rd Ste 118, Suwanee, GA 30024 | 2018-01-23 |
| 1932628468 | Silver Health Services, Inc. | Case Manager/Care Coordinator | 2640 Westbury Court, Swanee, GA 30024 | 2017-09-15 |
| 1285159095 | April L. Rivers | Nurse Practitioner | 4411 Suwanee Dam Rd Ste 110, Suwanee, GA 30024 | 2017-08-14 |
| 1144743840 | Nabil Elkareh | Pharmacist | 5049 Tarry Glen Drive., Suwanee, GA 30024 | 2017-07-25 |
| 1720508294 | Robert A Finkel Dds PC | Clinic/Center | 1325 Satellite Blvd Nw Ste 1304, Suwanee, GA 30024 | 2017-06-26 |
| Find all providers in zip 30024 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316963358 | Philip Norton Henderson | Clinic/Center | 2696 Lawrenceville Suwanee Rd, Suwanee, GA 30024-2535 | 2006-07-14 |
| 1740669951 | Skinnylabb LLC | Clinic/Center | 530 Highland Station Dr. Suite 4001, Suwanee, GA 30024 | 2015-05-20 |
| 1144486283 | Johns Creek Internal Medicine PC | Clinic/Center | 4035 Johns Creek Pkwy, Suite C, Suwanee, GA 30024-1253 | 2008-07-29 |
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| 1780296533 | North Atlanta Mental Wellness | Clinic/Center | 1742 Mount Vernon Rd Ste 150b, Atlanta, GA 30338-4251 | 2020-08-21 |
| 1639788136 | Walker Health and Wellness LLC | Clinic/Center | 111 Bradford Dr, Bloomingdale, GA 31302-4926 | 2020-07-30 |
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| 1598389637 | Mercie Health | Clinic/Center | 3721 New Macland Rd Ste 246, Powder Springs, GA 30127-2000 | 2020-06-04 |
| 1366061699 | Beyondmed LLC | Clinic/Center | 1820 Willow Branch Ln Nw, Kennesaw, GA 30152-4558 | 2020-04-16 |
| 1366082596 | Rock Health Inc | Clinic/Center | 5385 Five Forks Trickum Rd Ste F, Stone Mountain, GA 30087-3018 | 2020-01-15 |
| 1477192219 | Meridian Corporate Healthcare of Georgia P C | Clinic/Center | 5163 Thompson Bridge Rd, Murrayville, GA 30564-1930 | 2019-12-26 |
| Find all providers with the same taxonomy | ||||
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| 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.