Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Genesys Family Practice, Inc

Organization Family Medicine Physician · NPI 1407973936

Genesys Family Practice, Inc is a Family Medicine Physician in Tyrone, Georgia. Licensed in Georgia. Registered with an NPI since 2007.

Licensed in
GA
In the registry since
2007
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

120 Handley Rd Ste 410
Tyrone, GA 30290
Phone: (770) 964-5810
Fax: (678) 364-1216
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 053075 (GA)

Record details

NPI number1407973936
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ivy Smith — Owner · (770) 964-5810
NPI enumeratedMarch 22, 2007
Last updated in NPPESAugust 12, 2008
Mailing address120 Handley Rd, Suite 410, Tyrone, GA 30290

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