Locust Grove Family Medicine
NPI 1629169164 · Non-Pharmacy Dispensing Site · Locust Grove, GA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Locust Grove Family Medicine is a Non-Pharmacy Dispensing Site organization in Locust Grove, GA (NPI 1629169164).
Provider details
- NPI number
- 1629169164
- Entity type
- Organization
- Primary specialty
- Non-Pharmacy Dispensing SiteSuppliers
- Organization subpart
- No
- Authorized official
- Nimisha Trivedi, Owner(678) 610-6649
- License
- 053715 (GA)
Specialties & taxonomies
Suppliers
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
- 2006-09-28
- Last updated
- 2016-03-14
Frequently asked questions
- What is Locust Grove Family Medicine's NPI number?
- Locust Grove Family Medicine's National Provider Identifier (NPI) is 1629169164, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Locust Grove Family Medicine?
- Locust Grove Family Medicine is classified in the NPPES registry as Non-Pharmacy Dispensing Site (Suppliers).
- Where is Locust Grove Family Medicine located?
- Locust Grove Family Medicine's practice location on file with NPPES is 3778 Highway 42, Locust Grove, GA 30248-3632.
- What is Locust Grove Family Medicine's phone number?
- The practice phone number listed in the NPPES registry for Locust Grove Family Medicine is (678) 610-6649.
- Does Locust Grove Family Medicine accept Medicare?
- Locust Grove Family Medicine 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 Locust Grove Family Medicine?
- The authorized official listed on Locust Grove Family Medicine's NPPES record is Nimisha Trivedi, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Locust Grove Family Medicine's NPI active?
- Yes — Locust Grove Family Medicine's NPI (1629169164) is active in the NPPES registry as of the last update on 2016-03-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.