Healthcare Provider Details

I. General information

NPI: 1649195199
Provider Name (Legal Business Name): SEQUENT HEALTH PHYSICIAN PARTNERS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/12/2026
Last Update Date: 08/12/2026
Certification Date: 08/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1100 JOHNSON FERRY RD STE 520
SANDY SPRINGS GA
30342-1702
US

IV. Provider business mailing address

1100 JOHNSON FERRY RD STE 520
SANDY SPRINGS GA
30342-1702
US

V. Phone/Fax

Practice location:
  • Phone: 678-312-3713
  • Fax:
Mailing address:
  • Phone: 678-312-3713
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State

VIII. Authorized Official

Name: DAVID WILLIAMS
Title or Position: MANAGER OF POPULATION HEALTH
Credential:
Phone: 678-312-3713