Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Creekside Medical Clinic LLC

Organization Family Medicine Physician · NPI 1518289248

Creekside Medical Clinic LLC provides Family Medicine Physician services in Kennesaw, Georgia. Registered with an NPI since 2010.

In the registry since
2010
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3104 Creekside Village Dr NW Ste 201
Kennesaw, GA 30144-2324
Phone: (770) 627-3986
Fax: (770) 872-0517
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1518289248
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Sharmila Ramprasad — Director · (770) 627-3986
NPI enumeratedFebruary 22, 2010
Last updated in NPPESAugust 15, 2022
Certification dateAugust 15, 2022
Mailing address3104 Creekside Village Dr Nw, Suite 201, Kennesaw, GA 30144-2324

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