Memorial Drive Family Medicine P.C
NPI 1285994251 · Family Medicine Physician · Stone Mountain, GA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Memorial Drive Family Medicine P.C is a Family Medicine Physician organization in Stone Mountain, GA (NPI 1285994251).
Provider details
- NPI number
- 1285994251
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Tassew Tesfaye, Medical Doctor(404) 809-2480
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 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
- 2012-05-23
- Last updated
- 2012-07-12
Frequently asked questions
- What is Memorial Drive Family Medicine P.C's NPI number?
- Memorial Drive Family Medicine P.C's National Provider Identifier (NPI) is 1285994251, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Memorial Drive Family Medicine P.C?
- Memorial Drive Family Medicine P.C is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Memorial Drive Family Medicine P.C located?
- Memorial Drive Family Medicine P.C's practice location on file with NPPES is 4958 Memorial Dr, Stone Mountain, GA 30083-4148.
- What is Memorial Drive Family Medicine P.C's phone number?
- The practice phone number listed in the NPPES registry for Memorial Drive Family Medicine P.C is (404) 809-2480.
- Does Memorial Drive Family Medicine P.C accept Medicare?
- Memorial Drive Family Medicine P.C 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 Memorial Drive Family Medicine P.C?
- The authorized official listed on Memorial Drive Family Medicine P.C's NPPES record is Tassew Tesfaye, Medical Doctor. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Memorial Drive Family Medicine P.C's NPI active?
- Yes — Memorial Drive Family Medicine P.C's NPI (1285994251) is active in the NPPES registry as of the last update on 2012-07-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.