NPI age
16 years
Enumerated 2009-12-04
● Active Type 2 · Organization
South Fulton Primary Care, Llc
South Fulton Primary Care, Llc is 1 of 5448 family medicine organizations in Georgia.
Primary specialty
Family Medicine
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Allen
Vp Client Operations
Last NPPES update
2009-12-04
Source: monthly bulk 2026-05
How this organization compares
Across 5448 active family medicine providers in Georgia.
NPI age
16 years
≈ at median (17 yr)
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2009 → 2026
2009-12Enumerated in NPPES
2009
2026
Where they practice
Primary practice location
1203 Cleveland Ave, Suite 1a
East Point, GA 303443417
Mailing address
2220 Wisteria Dr, Suite 208
Snellville, GA 300782656
Authorized official
Logan Allen
Vp Client Operations
📞 6782522137
Individual providers at this organization
5 individual providers on file at this primary practice address.
- Lillian Nagaddya, FNP-C Registered Nurse NPI 1932306099
- Shakoora Omonuwa, M.D. Family Medicine NPI 1548216732
- Martha Sam, PTA Clinic/Center NPI 1700129798
- Betty Strong, MD Family Medicine NPI 1093728404
- Ellen Vaught, OTR/L Occupational Therapist NPI 1356438287
Specialties
-
Family Medicine PrimaryFamily Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of...
Practice context
Multi-provider organization. 5 individual providers on file at this primary address.
Provyx · Custom healthcare lists
Need all 5448 Family Medicine providers in Georgia?
Get the full list as a CSV with verified work emails, direct phones, and LinkedIn URLs.
Request a quote →How to verify this organization
- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.