Family Medical Center Of Ne Georgia,llc
Family Medicine in Lawrenceville, GA. Organization (NPI-2).
Details
- NPI
- 1154449486
- Entity type
- Organization (NPI-2)
- Legal business name
- Family Medical Center Of Ne Georgia,llc
- Organization subpart
- No
- Enumeration date
- Mar 26, 2007
- Last updated
- Sep 11, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 026300 | GA | Yes |
| 207R00000X | Internal Medicine | 026300 | GA | |
| 208100000X | Physical Medicine & Rehabilitation | 026300 | GA |
Practice location
555 Old Norcross RdSuite 100
Lawrenceville, GA 30045-8716
Phone 770-822-3031 · Fax 770-822-3032
Mailing address
555 Old Norcross RdSuite 100
Lawrenceville, GA 30045-8716
Phone 770-822-3031 · Fax 770-822-3032
Authorized official
Renee Leclaire
Office Manager
7708223031
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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