| Smyrna Family Medicine, Llc | |
|
400 Technology Ct Se Ste G Smyrna GA 30082-5237 | |
| (770) 435-3214 | |
| (770) 437-6911 |
| Full Name | Smyrna Family Medicine, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 400 Technology Ct Se Ste G, Smyrna, Georgia |
| Authorized Official Name and Position | David N Kim (CEO) |
| Authorized Official Contact | 7702920043 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Smyrna Family Medicine, Llc 4480 South Cobb Dr Bldg H, Ste 399 Smyrna GA 30080 Ph: (770) 292-0043 | Smyrna Family Medicine, Llc 400 Technology Ct Se Ste G Smyrna GA 30082-5237 Ph: (770) 435-3214 |
| NPI Number | 1598168650 |
|---|---|
| Provider Enumeration Date | 10/03/2014 |
| Last Update Date | 04/02/2026 |
| Medicare PECOS PAC ID | 2769704774 |
|---|---|
| Medicare Enrollment ID | O20141202001675 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598168650 | NPI | - | NPPES |
| 00922864A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | GA050306 (Georgia) | Primary |
| 363A00000X | Physician Assistant | 000489 (Georgia) | Secondary |
| Provider Name | David N Kim |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568433498 PECOS PAC ID: 6204025869 Enrollment ID: I20110112000938 |
| Provider Name | Kaushik Chaganty |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548764079 PECOS PAC ID: 8729330501 Enrollment ID: I20210817000961 |
| Provider Name | Shalin Kirit Patel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649808189 PECOS PAC ID: 3072938521 Enrollment ID: I20230308001804 |
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