NPI age
18 years
Enumerated 2007-10-09
● Active Type 2 · Organization
South Forsyth Family Medicine And Pediatrics Llc
South Forsyth Family Medicine And Pediatrics Llc is 1 of 5448 family medicine organizations in Georgia.
Primary specialty
Family Medicine
Plus 1 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Gore
Medical Billing & Insurance Manager
Last NPPES update
2013-01-17
Source: monthly bulk 2026-05
How this organization compares
Across 5448 active family medicine providers in Georgia.
NPI age
18 years
≈ at median (17 yr)
Practice locations
1
0 secondary on file
Subspecialties
1
In the 26% of peers with subspecialties
NPI lifetime · 2007 → 2026
2007-10Enumerated in NPPES
2007
2026
Where they practice
Primary practice location
1845 Lockeway Dr, Suite 404
Alpharetta, GA 300045936
Mailing address
1845 Lockeway Dr, Suite 404
Alpharetta, GA 300045936
Authorized official
Dina J Gore
Medical Billing & Insurance Manager
📞 7703439112
Individual providers at this organization
4 individual providers on file at this primary practice address.
- David Boaz, M.D. Family Medicine NPI 1750305124
- Giouzel Glodener, M.D. Specialist NPI 1528046539
- Mark Glodener, MD Family Medicine NPI 1174629885
- Kevin Peterson, O.D. Optometrist NPI 1013089283
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...
-
PediatricsA pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 000630759E | |
| 05 (GA) | 000630759F |
Practice context
Multi-provider organization. 4 individual providers on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.