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

Genesis Family Medicine & Aesthetics, LLC

Organization Family Medicine Physician · NPI 1417406513

Genesis Family Medicine & Aesthetics, LLC provides Family Medicine Physician services in Flowery Branch, Georgia. Licensed in Georgia. Registered with an NPI since 2016.

Licensed in
GA
In the registry since
2016
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

7316 Spout Springs Rd Ste 201
Flowery Branch, GA 30542-5665 Not confirmed with CMS for 10 years — call before visiting
Phone: (678) 262-8242
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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 · Licence 33410 (GA)

Record details

NPI number1417406513
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Maribel Chavez — Ceo/Cfo · (678) 262-8242
NPI enumeratedSeptember 29, 2016
Last updated in NPPESSeptember 29, 2016
Mailing address7316 Spout Springs Rd, Suite 201, Flowery Branch, GA 30542-5665

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