<unavail> in Canton, GA - Medicare Clinic/Center

is a medicare enrolled primary clinic (Clinic/center - Federally Qualified Health Center (fqhc)) in Canton, Georgia. The current practice location for is 220 Oakside Ln, Canton, Georgia. For appointments, you can reach them via phone at (678) 807-1050. The mailing address for is Po Box 307, Cumming, Georgia and phone number is (678) 807-1050.

is licensed to practice in Georgia (license number ). The clinic also participates in the medicare program and its NPI number is 1063419422. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (678) 807-1050.

Contact Information


	220 Oakside Ln Canton GA 30114-6413
	(678) 807-1050
	(678) 807-1055

Map and Direction

Primary Care Clinic Profile

Full Name
Speciality	Clinic/Center
Location	220 Oakside Ln, Canton, Georgia
Authorized Official Name and Position	Stephen Brown (CFO)
Authorized Official Contact	7708871668
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Po Box 307 Cumming GA 30028-0307 Ph: (678) 807-1050	220 Oakside Ln Canton GA 30114-6413 Ph: (678) 807-1050

NPI Details:

NPI Number	1063419422
Provider Enumeration Date	06/30/2005
Last Update Date	07/21/2022

Medicare PECOS Information:

Medicare PECOS PAC ID	5890682017
Medicare Enrollment ID	O20040311001299

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1063419422	NPI	-	NPPES
000192574E	Medicaid	GA
300022400A	Medicaid	GA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
261QF0400X	Clinic/center - Federally Qualified Health Center (fqhc)	(Georgia)	Primary
261QU0200X	Clinic/center - Urgent Care	(* (Not Available))	Secondary

Reviews and Comments

Clinic/Center in Canton, GA

Abundant Living Foundation, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1558 Marietta Hwy Ste 200, Canton, GA 30114 Phone: 914-275-1477
Donna C. Haley, M.d., P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 687 Marietta Hwy, Canton, GA 30114 Phone: 770-479-8040 Fax: 770-479-7871
Medical Care Of Georgia, P.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 50 Medical Ln, Canton, GA 30114 Phone: 770-345-2300 Fax: 770-345-2330
Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7768 Cumming Hwy Ste 300, Canton, GA 30115 Phone: 707-111-1111
Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 5113 Holly Springs Parkway, Canton, GA 30115 Phone: 470-331-3544
Northcrest Family Medicine Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 7768 Cumming Hwy, Suite 300, Canton, GA 30114 Phone: 770-720-2113 Fax: 770-704-7365

- Medicare Primary Care in Canton, GA