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

Memorial Drive Family Medicine PC

Organization Family Medicine Physician · NPI 1285994251

Memorial Drive Family Medicine PC provides Family Medicine Physician services in Stone Mountain, Georgia. Registered with an NPI since 2012.

In the registry since
2012
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4958 Memorial Dr
Stone Mountain, GA 30083-4148 Not confirmed with CMS for 14 years — call before visiting
Phone: (404) 809-2480
Fax: (404) 809-2485
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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 number1285994251
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tassew Tesfaye — Medical Doctor · (404) 809-2480
NPI enumeratedMay 23, 2012
Last updated in NPPESJuly 12, 2012
Mailing address4958 Memorial Dr, Stone Mountain, GA 30083-4148

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