P Praxis·MD
● Active Type 2 · Organization

Lavista Family Medicine

Clinic/Center·Atlanta, GA· NPI 1538333497 · Enumerated 2008 · 18 years on NPI
Lavista Family Medicine is 1 of 655 clinic/center organizations in Georgia.
NPI age
18 years
Enumerated 2008-04-22
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Gorokhov
Family Practice
Last NPPES update
2013-10-24
Source: monthly bulk 2026-05

How this organization compares

Across 655 active clinic/center providers in Georgia.

NPI age
18 years
↑ 7 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2008 → 2026

2008-04Enumerated in NPPES
2008 2026

Where they practice

Primary practice location
2910 N Druid Hills Rd Ne, Suite A
Atlanta, GA 303293919
📞 4043206050fax 4043206080
Mailing address
2012 Harobi Dr, Suite B
Tucker, GA 300845161
📞 4043206050fax 4043206080

Authorized official

Mikhail Gorokhov
Family Practice
📞 4043206050

Individual providers at this organization

9 individual providers on file at this primary practice address.

Specialties

  • Clinic/Center Primary
    Definition to come...
    GA license #039353GA license #042048 taxonomy 261QP2300X

Identifiers

TypeValueNotes
05 (GA) 000662219E

Practice context

Multi-provider organization. 9 individual providers on file at this primary address.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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