NPI age
17 years
Enumerated 2008-07-29
● Active Type 2 · Organization
Family Medical Clinic Of Snellville
Family Medical Clinic Of Snellville 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
Freeman
President
Last NPPES update
2015-06-10
Source: monthly bulk 2026-05
How this organization compares
Across 655 active clinic/center providers in Georgia.
NPI age
17 years
↑ 6 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2008 → 2026
2008-07Enumerated in NPPES
2008
2026
Where they practice
Primary practice location
3891 Stone Mountain Hwy
Snellville, GA 300393932
Mailing address
3891 Stone Mountain Hwy
Snellville, GA 300393932
Authorized official
Gordon Glenn Freeman, M.D.
President
📞 7709724764
Specialties
-
Clinic/Center PrimaryDefinition to come...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | 52260821001 | BC PROVIDER ID |
| 01 | 1083652267 | IND. NPI |
| 01 (GA) | 4073314 | AETNA PROVIDER ID |
Practice context
Single-site organization. Only one practice location on file.
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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.