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

NW Georgia Family Practice

Organization Family Medicine Physician · NPI 1053405704

NW Georgia Family Practice provides Family Medicine Physician services in Marietta, Georgia. Registered with an NPI since 2006.

In the registry since
2006

Practice location Address checks out

2526 Shallowford Rd Ste C
Marietta, GA 30066 Not confirmed with CMS for 18 years — call before visiting
Phone: (770) 516-3500
Fax: (770) 516-3660
Show map & directions

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1053405704
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tamiko Zachery — Office Manager · (770) 516-3500
NPI enumeratedOctober 3, 2006
Last updated in NPPESMarch 17, 2008
Mailing address2513 Shallowford Rd, Building 100, Marietta, GA 30066-6809

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