NPI age
12 years
Enumerated 2014-05-19
● Active Type 2 · Organization
Subpart
Afc Physicians Of Georgia, Pc
Afc Physicians Of Georgia, Pc is 1 of 661 general practice organizations in Georgia.
Primary specialty
General Practice
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Johansen
President
Last NPPES update
2020-06-12
Source: monthly bulk 2026-05
How this organization compares
Across 661 active general practice providers in Georgia.
NPI age
12 years
↓ 2 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2014 → 2026
2014-05Enumerated in NPPES
2014
2026
Where they practice
Primary practice location
1095 Woodstock Rd
Roswell, GA 300750000
Mailing address
3700 Cahaba Beach Rd
Birmingham, AL 352425225
Authorized official
Randy Johansen
President
📞 2054212101
Specialties
-
General Practice PrimaryA physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | 202G708342 | MEDICARE GROUP PTAN# |
Practice context
Single-site organization. Only one practice location on file.
Subpart of Afc Physicians Of Georgia, Pc.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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