Ag Family Medicine, PC
NPI 1174783435 · Primary Care Clinic/Center · Duluth, GA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Ag Family Medicine, PC is a Primary Care Clinic/Center organization in Duluth, GA (NPI 1174783435).
Provider details
- NPI number
- 1174783435
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Chang Soo Kim, President(770) 614-9799
- License
- 59806 (GA)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2008-06-11
- Last updated
- 2025-12-15
- Certified
- 2025-12-15
Frequently asked questions
- What is Ag Family Medicine, PC's NPI number?
- Ag Family Medicine, PC's National Provider Identifier (NPI) is 1174783435, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Ag Family Medicine, PC?
- Ag Family Medicine, PC is classified in the NPPES registry as Primary Care Clinic/Center (Ambulatory Health Care Facilities).
- Where is Ag Family Medicine, PC located?
- Ag Family Medicine, PC's practice location on file with NPPES is 3590 Peachtree Industrial Blvd, Duluth, GA 30096-4817.
- What is Ag Family Medicine, PC's phone number?
- The practice phone number listed in the NPPES registry for Ag Family Medicine, PC is (770) 614-9799.
- Does Ag Family Medicine, PC accept Medicare?
- Ag Family Medicine, PC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Ag Family Medicine, PC?
- The authorized official listed on Ag Family Medicine, PC's NPPES record is Chang Soo Kim, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Ag Family Medicine, PC's NPI active?
- Yes — Ag Family Medicine, PC's NPI (1174783435) is active in the NPPES registry as of the last update on 2025-12-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.