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Northcrest Family Medicine LLC

Family Medicine Physician in Canton, GA · enumerated 2007 · authorized official John Jackson, MD / Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1255465217

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Registry record

Entity type Organization (Type 2)
Legal business name Northcrest Family Medicine LLC
Practice address 7768 Cumming Hwy, Suite 300, Canton, GA, 30114
Phone (770) 720-2113
Fax (770) 704-7365
Enumeration date Mar 14, 2007
Last updated in NPPES Mar 22, 2013

Taxonomy & classification

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians · License 056102 (GA) Primary

Authorized official

Name John Jackson
Title MD / Owner
Phone (770) 655-1408

Other identifiers

Identifier Type State Issuer
978224987A Medicaid GA -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What type of organization is Northcrest Family Medicine LLC?
Northcrest Family Medicine LLC is registered in NPPES as a Family Medicine Physician (its primary provider taxonomy).
What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2013-03-22.