NPI age
18 years
Enumerated 2007-10-02
● Active Type 2 · Organization
Family Practice Clinic Pc
Family Practice Clinic 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
Smith
Owner
Last NPPES update
2010-12-02
Source: monthly bulk 2026-05
How this organization compares
Across 5448 active family medicine providers in Georgia.
NPI age
18 years
≈ at median (17 yr)
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2007 → 2026
2007-10Enumerated in NPPES
2007
2026
Where they practice
Primary practice location
696 Grayson Hwy
Lawrenceville, GA 300466372
Mailing address
696 Grayson Hwy
Lawrenceville, GA 300466372
Authorized official
Sheila Jeanne Smith, DO
Owner
📞 7709630927
Individual providers at this organization
5 individual providers on file at this primary practice address.
- D'Angel Brooks, PA-C Physician Assistant NPI 1801580600
- Melissa Cervantes Physician Assistant NPI 1255009833
- Benjamin Lee, PA Physician Assistant NPI 1386003887
- Carolyn Petrey, DO Family Medicine NPI 1003923145
- Sanjay Sinha, M.D. Family Medicine NPI 1124196191
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) | 00168869A | |
| 05 (GA) | 000302222A |
Practice context
Multi-provider organization. 5 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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- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.