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

Patriot Healthcare of Georgia, LLC

Organization Geriatric Medicine (Family Medicine) Physician · NPI 1275002636

Patriot Healthcare of Georgia, LLC provides Geriatric Medicine (Family Medicine) Physician services in College Park, Georgia. Registered with an NPI since 2018.

In the registry since
2018
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

1587 Phoenix Blvd Ste 6
College Park, GA 30349
Phone: (404) 435-6029
Show map & directions

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

Specialties & licences

Geriatric Medicine (Family Medicine) Physician (primary) Taxonomy 207QG0300X

Record details

NPI number1275002636
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official David Culver — Administrator · (904) 825-4368
Other names Phc Of Ga College Park
NPI enumeratedNovember 15, 2018
Last updated in NPPESNovember 15, 2018
Mailing address100 Arricola Avenue, St. Augustine, FL 32080