P Praxis·MD
● Active Type 2 · Organization

Patriot Healthcare Of Georgia, Llc

Family Medicine·Stone Mountain, GA· NPI 1558830919 · Enumerated 2018 · 7 years on NPI
Patriot Healthcare Of Georgia, Llc is 1 of 57 family medicine organizations in Georgia.
NPI age
7 years
Enumerated 2018-11-15
Primary specialty
Family Medicine
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Culver
Administrator
Last NPPES update
2018-11-15
Source: monthly bulk 2026-05

How this organization compares

Across 57 active family medicine providers in Georgia.

NPI age
7 years
↓ 7 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2018 → 2026

2018-11Enumerated in NPPES
2018 2026

Where they practice

Primary practice location
833 Hairston Road
Stone Mountain, GA 30083
📞 7708795553fax 7708795592
Mailing address
100 Arricola Avenue
St. Augustine, FL 32080
📞 9048254368

Authorized official

David A. Culver
Administrator
📞 9048254368

Specialties

  • Family Medicine Primary
    A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in...
    taxonomy 207QG0300X

Other names on file (1)

Doing-business-as, former, and alternate names recorded by NPPES.

  • PHC of GA Stone Mountain
    Type code 3 recorded 2018-11-15

Practice context

Single-site organization. Only one practice location on file.

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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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