MEDICARE: THE FAMILY HEALTH CENTERS OF GEORGIA, INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QF0400X	Federally Qualified Health Center (FQHC)

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1366789901
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THE FAMILY HEALTH CENTERS OF GEORGIA, INC

Provider Business Mailing Address
First Line	:	868 YORK AVE SW
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30310-2750
Country	:	US
Telephone Number	:	404-752-1400
Fax Number	:	404-755-7400

Provider Business Practice Location Address
First Line	:	5920 SANDY SPRINGS CIR NE
Second Line	:
City	:	SANDY SPRINGS
State	:	GA
Zip	:	30328-5937
Country	:	US
Telephone Number	:	404-252-0001
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT, CEO
Name	:	DR. MICHAEL W BROOKS
Credential	:	MD
Telephone Number	:	404-752-1400

Provider Enumeration Date	:	01/15/2013
Last Update Date	:	02/01/2023

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