NPI age
9 years
Enumerated 2017-03-16
● Active Type 2 · Organization
Subpart
Physician Management Services Of Eastern Georgia, Llc
Physician Management Services Of Eastern Georgia, Llc 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
Kenefick
President
Last NPPES update
2017-03-16
Source: monthly bulk 2026-05
How this organization compares
Across 5448 active family medicine providers in Georgia.
NPI age
9 years
↓ 8 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2017 → 2026
2017-03Enumerated in NPPES
2017
2026
Where they practice
Primary practice location
410 Peachtree Pkwy, Suite 4260
Cumming, GA 300417066
Mailing address
3113 Lawton Rd, Suite 250
Orlando, FL 328033531
Authorized official
Brett Kenefick
President
📞 8888298550
Individual providers at this organization
13 individual providers on file at this primary practice address.
- Michael Crosby, D.D.S., M.S. Dentist NPI 1285810325
- Daniel Danyo, M.D. Specialist NPI 1912016817
- Troy Davidson, DDS Dentist NPI 1730252982
- Carol Hall, PA-C Physician Assistant NPI 1992962807
- Diane King, ATC, RD, CSSD Specialist/Technologist NPI 1235105032
- Kristin Leblanc, BCCC, CTC, CFLE Counselor NPI 1235498726
- Brian Long, LPC Counselor NPI 1932475779
- Swati Mahajan, MD Pediatrics NPI 1295091718
- Michael Patterson, MD Pediatrics NPI 1053475970
- Zhanna Powell, MS, RD, LD Dietitian, Registered NPI 1831955020
- Deirdre Stewart, MD Pediatrics NPI 1902965957
- Angela White, OD Optometrist NPI 1699797969
- Dennis Wiles, MD Pediatrics NPI 1871539213
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 |
|---|---|---|
| 01 | PHC059 | MEDICARE PTAN |
Practice context
Multi-provider organization. 13 individual providers on file at this primary address.
Subpart of Vaxcare Corporation.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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