| North Atlanta Family Practice, Llc | |
|
1400 Northside Forsyth Dr Ste 240 Cumming GA 30041-6017 | |
| (770) 844-0877 | |
| (770) 844-0891 |
| Full Name | North Atlanta Family Practice, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1400 Northside Forsyth Dr Ste 240, Cumming, Georgia |
| Authorized Official Name and Position | Sohel Momin (AO) |
| Authorized Official Contact | 7708440877 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| North Atlanta Family Practice, Llc 1400 Northside Forsyth Dr Ste 240 Cumming GA 30041-6017 Ph: (770) 844-0877 | North Atlanta Family Practice, Llc 1400 Northside Forsyth Dr Ste 240 Cumming GA 30041-6017 Ph: (770) 844-0877 |
| NPI Number | 1487736138 |
|---|---|
| Provider Enumeration Date | 10/20/2006 |
| Last Update Date | 12/04/2023 |
| Medicare PECOS PAC ID | 7315967148 |
|---|---|
| Medicare Enrollment ID | O20051123000060 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487736138 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Sohel N Momin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760467013 PECOS PAC ID: 7810959061 Enrollment ID: I20041029000713 |
| Provider Name | Hemen Padhiar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740265099 PECOS PAC ID: 4385688761 Enrollment ID: I20050616000306 |
| Provider Name | Deborah T Mcdaniels |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790985885 PECOS PAC ID: 1052491180 Enrollment ID: I20080102000447 |
| Provider Name | Megan Irene Bueltel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003469677 PECOS PAC ID: 2365875093 Enrollment ID: I20191210001895 |
| Provider Name | Megan Larsen Popp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205591948 PECOS PAC ID: 4183014194 Enrollment ID: I20211207000791 |
| Provider Name | Jennifer Stearns Faulkner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184375610 PECOS PAC ID: 3971990631 Enrollment ID: I20220427001263 |
| Provider Name | Anita Daxesh Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366902769 PECOS PAC ID: 7214265735 Enrollment ID: I20230325000077 |
| Provider Name | Anna Bowers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932806668 PECOS PAC ID: 3870958895 Enrollment ID: I20230426003245 |
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