NPI age
5 years
Enumerated 2020-08-31
● Active Type 2 · Organization
Southern Physician Practice Group Pc
Southern Physician Practice Group Pc is 1 of 196 clinic/center organizations in Georgia.
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Bachar
Ceo
Last NPPES update
2020-09-02
Source: monthly bulk 2026-05
How this organization compares
Across 196 active clinic/center providers in Georgia.
NPI age
5 years
↓ 8 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2020 → 2026
2020-08Enumerated in NPPES
2020
2026
Where they practice
Primary practice location
3180 N Point Pkwy Ste 302
Alpharetta, GA 300054381
Mailing address
3180 N Point Pkwy Ste 302
Alpharetta, GA 300054381
Authorized official
Moshe Bachar, MD
Ceo
📞 4048005181
Individual providers at this organization
6 individual providers on file at this primary practice address.
- Anbar Ahmad, M.D. Internal Medicine NPI 1861703159
- Danielle Broadnax Nurse Practitioner NPI 1164130860
- Brett Cansler, FNP Nurse Practitioner NPI 1649856980
- Jeunese Forchin, FNP Nurse Practitioner NPI 1689052656
- Terrance Henderson, AGNP-C Nurse Practitioner NPI 1003580986
- Michelle Wansky, GNP Nurse Practitioner NPI 1043467608
Specialties
-
Clinic/Center PrimaryAn entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or...
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
test4free.org
Practice context
Multi-provider organization. 6 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.