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

South Fulton Primary Care, LLC

Organization Family Medicine Physician · NPI 1174851919

South Fulton Primary Care, LLC provides Family Medicine Physician services in East Point, Georgia. Licensed in Georgia. Registered with an NPI since 2009.

Licensed in
GA
In the registry since
2009
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

1203 Cleveland Ave Ste 1A
East Point, GA 30344-3417 Not confirmed with CMS for 16 years — call before visiting
Phone: (404) 305-8900
Fax: (404) 305-8099
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 046202 (GA)

Record details

NPI number1174851919
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Logan Allen — Vp Client Operations · (678) 252-2137
NPI enumeratedDecember 4, 2009
Last updated in NPPESDecember 4, 2009
Mailing address2220 Wisteria Dr, Suite 208, Snellville, GA 30078-2656

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