OrganizationActive
South Atlanta Primary Care PC
NPI 1710183454 · Legal Medicine · Jonesboro, GA
South Atlanta Primary Care PC is a Legal Medicine organization in Jonesboro, GA (NPI 1710183454).
Provider details
- NPI number
- 1710183454
- Entity type
- Organization
- Primary specialty
- Legal MedicineOther Service Providers
- Organization subpart
- No
- Authorized official
- Michael Dicristina, Physician Owner(770) 968-7933
- License
- 022223 (GA)
Specialties & taxonomies
Other Service Providers
Profile Score
Detailed profile(89/100 index)
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
6568a Tara Blvd
Jonesboro, GA 30236-1228
Phone: (770) 968-7933
Fax: (770) 968-6521
Street-level locationGet directions
Mailing address
6568a Tara Blvd
Jonesboro, GA 30236-1228
Registry dates
- Enumerated
- 2007-06-21
- Last updated
- 2020-08-22
Frequently asked questions
- What is South Atlanta Primary Care PC's NPI number?
- South Atlanta Primary Care PC's National Provider Identifier (NPI) is 1710183454, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is South Atlanta Primary Care PC?
- South Atlanta Primary Care PC is classified in the NPPES registry as Legal Medicine (Other Service Providers).
- Where is South Atlanta Primary Care PC located?
- South Atlanta Primary Care PC's practice location on file with NPPES is 6568a Tara Blvd, Jonesboro, GA 30236-1228.
- What is South Atlanta Primary Care PC's phone number?
- The practice phone number listed in the NPPES registry for South Atlanta Primary Care PC is (770) 968-7933.
- Who is the authorized official for South Atlanta Primary Care PC?
- The authorized official listed on South Atlanta Primary Care PC's NPPES record is Michael Dicristina, Physician Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is South Atlanta Primary Care PC's NPI active?
- Yes — South Atlanta Primary Care PC's NPI (1710183454) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.