GRAYSON PRIMARY CARE LLC – Family Medicine Physician, NPI 1417903451

GRAYSON PRIMARY CARE LLC is a healthcare provider. based in Grayson, Georgia. specializing in Family Medicine Physician. The NPI Number for GRAYSON PRIMARY CARE LLC is 1417903451

Main info

Organization
Name
GRAYSON PRIMARY CARE LLC
NPI
1417903451
Phone
(678) 225-4999
Address
2594 LOGANVILLE HWY
Authorized Official
MARK PICKETT VP
Enumeration Date
25 May 2006
Last Update Date
20 April 2008
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness75
Years active:20State licenses:0Digital endpointsOther names

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Provider Addresses for GRAYSON PRIMARY CARE LLC

  • 2594, Loganville Highway, Grayson, Gwinnett County, Georgia, 30017, United States

    SUITE 101

    GRAYSON, GA 300171617

    Phone: (678) 225-4999

    Fax: (678) 225-5546

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 30017)

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Reviews

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Frequently asked questions

What is the standard ID for GRAYSON PRIMARY CARE LLC in the U.S.?
In the U.S., GRAYSON PRIMARY CARE LLC is identified by NPI 1417903451.
Should I treat GRAYSON PRIMARY CARE LLC as an active provider?
Patients and plans typically see GRAYSON PRIMARY CARE LLC as active in the national extract.
How should patients interpret GRAYSON PRIMARY CARE LLC's specialty?
The extract shows Family Medicine Physician for GRAYSON PRIMARY CARE LLC. Clinical services aligned with this taxonomy classification.
Which community is linked to GRAYSON PRIMARY CARE LLC?
GRAYSON PRIMARY CARE LLC shows a connection to Grayson, Georgia in registry-derived data.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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