MEDICARE: ATLANTA-JOHNS CREEK COMMUNITY PRIMARY AND URGENT CARE

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	207R00000X	Internal Medicine Physician

General Provider Information

NPI Number	:	1972479350
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ATLANTA-JOHNS CREEK COMMUNITY PRIMARY AND URGENT CARE

Provider Business Mailing Address
First Line	:	275 CARPENTER DR STE 101
Second Line	:
City	:	SANDY SPRINGS
State	:	GA
Zip	:	30328-4909
Country	:	US
Telephone Number	:	404-497-9739
Fax Number	:	404-497-9739

Provider Business Practice Location Address
First Line	:	275 CARPENTER DR STE 101
Second Line	:
City	:	SANDY SPRINGS
State	:	GA
Zip	:	30328-4909
Country	:	US
Telephone Number	:	317-250-7721
Fax Number	:	317-250-7721

Authorized Official
Title or Position	:	OWNER
Name	:	STEVEN CHENGSHI HE
Credential	:	MD
Telephone Number	:	317-250-7721

Provider Enumeration Date	:	10/14/2025
Last Update Date	:	01/06/2026

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