Organization
GENESYS FAMILY PRACTICE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IVY YVONNE SMITH MD (OWNER)
(770) 964-5810
Entity
Organization
Contact information
Practice address
120 HANDLEY RD, SUITE 410, TYRONE, GA 30290
(770) 964-5810
(678) 364-1216
Mailing address
120 HANDLEY RD, SUITE 410, TYRONE, GA 30290
(770) 964-5810
(678) 364-1216
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
053075
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
088BRJB
MEDICARE ID
GA
05
—
407530212B
—
GA
Enumeration date
03/22/2007
Last updated
08/12/2008
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us