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

Northcrest Family Medicine LLC

Organization Family Medicine Physician · NPI 1255465217

Northcrest Family Medicine LLC provides Family Medicine Physician services in Canton, Georgia. Licensed in Georgia. Registered with an NPI since 2007.

Licensed in
GA
In the registry since
2007
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

7768 Cumming Hwy Ste 300
Canton, GA 30114-9314 Not confirmed with CMS for 13 years — call before visiting
Phone: (770) 720-2113
Fax: (770) 704-7365
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 056102 (GA)

Record details

NPI number1255465217
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official John Jackson — Md / Owner · (770) 655-1408
NPI enumeratedMarch 14, 2007
Last updated in NPPESMarch 22, 2013
Mailing address7768 Cumming Hwy. Ste 300, Canton, GA 30114

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