Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Grayson Primary Care LLC

Organization Family Medicine Physician · NPI 1417903451

Grayson Primary Care LLC provides Family Medicine Physician services in Grayson, Georgia. Registered with an NPI since 2006.

In the registry since
2006
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2594 Loganville Hwy Ste 101
Grayson, GA 30017-1617 Not confirmed with CMS for 18 years — call before visiting
Phone: (678) 225-4999
Fax: (678) 225-5546
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1417903451
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mark Pickett — Vp · (678) 762-5037
NPI enumeratedMay 25, 2006
Last updated in NPPESApril 20, 2008
Mailing address2594 Loganville Hwy, Suite 101, Grayson, GA 30017-1617

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