Memorial Drive Family Medicine P.C
NPI 1285994251ActiveOrganization· Family Medicine· Stone Mountain, GA
Family Medicine in Stone Mountain, Georgia, registered in NPPES in May 2012. The authorized official on file is Tassew Tesfaye, M.D., Medical Doctor. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1285994251 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 23, 2012 |
| Last updated in NPPES | Jul 12, 2012 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (GA) |
|---|
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