Northeast Family Practice P.C
NPI 1396099578 · Primary Care Clinic/Center · Norcross, GA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Northeast Family Practice P.C is a Primary Care Clinic/Center organization in Norcross, GA (NPI 1396099578).
Provider details
- NPI number
- 1396099578
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Regina Wang, President(404) 819-7261
- License
- 050568 (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
13 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
- 2012-11-09
- Last updated
- 2012-11-09
Frequently asked questions
- What is Northeast Family Practice P.C's NPI number?
- Northeast Family Practice P.C's National Provider Identifier (NPI) is 1396099578, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Northeast Family Practice P.C?
- Northeast Family Practice P.C is classified in the NPPES registry as Primary Care Clinic/Center (Ambulatory Health Care Facilities).
- Where is Northeast Family Practice P.C located?
- Northeast Family Practice P.C's practice location on file with NPPES is 4720 Peachtree Industrial Blvd, Norcross, GA 30071-5735.
- What is Northeast Family Practice P.C's phone number?
- The practice phone number listed in the NPPES registry for Northeast Family Practice P.C is (770) 514-8880.
- Does Northeast Family Practice P.C accept Medicare?
- Northeast Family Practice 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 Northeast Family Practice P.C?
- The authorized official listed on Northeast Family Practice P.C's NPPES record is Regina Wang, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Northeast Family Practice P.C's NPI active?
- Yes — Northeast Family Practice P.C's NPI (1396099578) is active in the NPPES registry as of the last update on 2012-11-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.