Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Genesys Family Practice, Inc

Organization Family Medicine Physician · NPI 1407973936

Genesys Family Practice, Inc provides Family Medicine Physician services in Tyrone, Georgia. Licensed in Georgia. Registered with an NPI since 2007.

Licensed in
GA
In the registry since
2007
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

120 Handley Rd Ste 410
Tyrone, GA 30290 Not confirmed with CMS for 18 years — call before visiting
Phone: (770) 964-5810
Fax: (678) 364-1216
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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 053075 (GA)

Record details

NPI number1407973936
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ivy Smith — Owner · (770) 964-5810
NPI enumeratedMarch 22, 2007
Last updated in NPPESAugust 12, 2008
Mailing address120 Handley Rd, Suite 410, Tyrone, GA 30290

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