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

Willow Creek Family Medicine, PC

Organization Family Medicine Physician · NPI 1225133796

Willow Creek Family Medicine, PC provides Family Medicine Physician services in Roswell, Georgia. Licensed in Georgia. Registered with an NPI since 2006.

Licensed in
GA
In the registry since
2006
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

11685 Alpharetta Hwy Ste 300
Roswell, GA 30076-4913 Not confirmed with CMS for 12 years — call before visiting
Phone: (678) 325-6611
Fax: (678) 325-6616
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 029768 (GA)

Record details

NPI number1225133796
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lisa Rosa-Re — Owner/Physician · (678) 325-6611
NPI enumeratedSeptember 13, 2006
Last updated in NPPESDecember 2, 2013
Mailing address11685 Alpharetta Hwy, Ste 300, Roswell, GA 30076-4913

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