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Fourth and Beech, Inc.

NPI 1316392541ActiveOrganization· Family Medicine· Dunwoody, GA

Family Medicine in Dunwoody, Georgia, registered in NPPES in April 2016. The authorized official on file is Ikusuke Nakada, Ceo/Owner.

Overview

NPI1316392541
StatusActive
Entity typeOrganization
NPI issuedApr 25, 2016
Last updated in NPPESJul 19, 2016

Specialties and licenses

TaxonomyCodeLicenseState
Family Medicine Primary207Q00000X56363GA
Dietitian, Registered133V00000XLD004684GA
Family Medicine207Q00000XRN108447GA

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other Family Medicine providers in Dunwoody

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