NPI age
13 years
Enumerated 2012-11-09
● Active Type 2 · Organization
Northeast Family Practice P.c
Northeast Family Practice P.c is 1 of 655 clinic/center organizations in Georgia.
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Wang
President
Last NPPES update
2012-11-09
Source: monthly bulk 2026-05
How this organization compares
Across 655 active clinic/center providers in Georgia.
NPI age
13 years
↑ 2 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2012 → 2026
2012-11Enumerated in NPPES
2012
2026
Where they practice
Primary practice location
4720 Peachtree Industrial Blvd, Ste 202
Norcross, GA 300715735
Mailing address
4720 Peachtree Industrial Blvd, Ste 202
Norcross, GA 300715735
Authorized official
Regina Jianhua Wang, M.D.
President
📞 4048197261
Individual providers at this organization
8 individual providers on file at this primary practice address.
- Todd Afferica, DDS Dentist NPI 1790723914
- Justin Chang, O.D. Optometrist NPI 1457344186
- Letisha Erb, LCSW,LMSW Social Worker NPI 1376714402
- Michelle Gillespie, LPC Counselor NPI 1689973919
- Lisa McDaniel, LPC Counselor NPI 1255610788
- Tuan Nguyen, M.D. Internal Medicine NPI 1386756955
- Jinyoung Shin, D.C Chiropractor NPI 1699098947
- Tricia Strickland, APRN Nurse Practitioner NPI 1447613351
Specialties
-
Clinic/Center PrimaryDefinition to come...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 00951475A | |
| 01 (GA) | 08BBWJW | MEDICARE |
Practice context
Multi-provider organization. 8 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 →
- 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.