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Clinica Medica Familiar, LLP

Obstetrics & Gynecology Physician in Riverdale, GA · enumerated 2009 · authorized official Jack Dourron, Office Manager.

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

National Provider Identifier

1619101813

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Registry record

Entity type Organization (Type 2)
Legal business name Clinica Medica Familiar, LLP
Practice address 189 Medical Way, Suite B, Riverdale, GA, 30274
Phone (770) 996-9681
Fax (770) 996-9683
Enumeration date May 4, 2009
Last updated in NPPES May 4, 2009

Taxonomy & classification

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians · License 027722 (GA) Secondary
207V00000X Obstetrics & Gynecology Physician Allopathic & Osteopathic Physicians · License 014308 (GA) Primary

Authorized official

Name Jack Dourron
Title Office Manager
Phone (770) 996-9681

Other identifiers

Identifier Type State Issuer
000136958I 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

Who is the authorized official for Clinica Medica Familiar, LLP?
NPPES lists Jack Dourron (Office Manager) as the authorized official for this organization.
What is the NPI number for Clinica Medica Familiar, LLP?
The NPI for Clinica Medica Familiar, LLP is 1619101813, a Type 2 (organization) record in the CMS NPPES registry.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2009-05-04.