NPI age
10 years
Enumerated 2016-04-25
● Active Type 2 · Organization
Fourth And Beech, Inc.
Fourth And Beech, Inc. is 1 of 5448 family medicine organizations in Georgia.
Primary specialty
Family Medicine
Plus 1 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Nakada
Ceo/owner
Last NPPES update
2016-07-19
Source: monthly bulk 2026-05
How this organization compares
Across 5448 active family medicine providers in Georgia.
NPI age
10 years
↓ 7 yr below median
Practice locations
1
0 secondary on file
Subspecialties
1
In the 26% of peers with subspecialties
NPI lifetime · 2016 → 2026
2016-04Enumerated in NPPES
2016
2026
Where they practice
Primary practice location
5475 Chamblee Dunwoody Rd
Dunwoody, GA 303384114
Mailing address
5024 Vernon Springs Dr
Dunwoody, GA 303384653
Authorized official
Ikusuke Nakada
Ceo/owner
📞 4042299048
Individual providers at this organization
1 individual provider on file at this primary practice address.
- Candace Crowley, RD Dietitian, Registered NPI 1396198925
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...
-
Dietitian, RegisteredA Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based...
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Medi-Weightloss
Practice context
Multi-provider organization. 1 individual provider 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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