NPI age
13 years
Enumerated 2013-02-15
● Active Type 2 · Organization
Stewart Family Practice, Pc
Stewart Family Practice, Pc 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
Stewart
Practice Administrator
Last NPPES update
2013-05-14
Source: monthly bulk 2026-05
How this organization compares
Across 5448 active family medicine providers in Georgia.
NPI age
13 years
↓ 4 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2013 → 2026
2013-02Enumerated in NPPES
2013
2026
Where they practice
Primary practice location
4500 Hugh Howell Rd, Ste 220
Tucker, GA 300844723
Mailing address
4500 Hugh Howell Rd, Ste 220
Tucker, GA 300844723
Authorized official
Deborah Stewart
Practice Administrator
📞 7704690668
Individual providers at this organization
10 individual providers on file at this primary practice address.
- Denella Ausborn, PSY.D. Psychologist NPI 1174676563
- Willie Ausborn, PSY.D Psychologist NPI 1366596025
- Deirdre Bonaparte, MA, CCC-SLP Speech-Language Pathologist NPI 1316389679
- Julia Eze, NP-C Nurse Practitioner NPI 1578017703
- Joo-Won Kim, DDS Dentist NPI 1265867014
- Jill Mattingly, PA-C, MMSC Physician Assistant NPI 1770795361
- Bruce Preston, D.M.D Dentist NPI 1164574893
- Steven Stewart, MD Family Medicine NPI 1679579643
- Lee Wilkes, MD Internal Medicine NPI 1568441871
- Jerry Wilson, PA-C Physician Assistant NPI 1619153210
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...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 000723863F | |
| 01 (GA) | 52650560002 | BLUE CROSS BLUE SHIELD |
| 01 (GA) | 5312576 | AETNA |
| 01 (GA) | 2094167 | UNITED HEALTHCARD |
| 01 (GA) | 3891011 | COVENTRY |
Practice context
Multi-provider organization. 10 individual providers on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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