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

Lafayette Family Practice

Organization Family Medicine Physician · NPI 1508058066

Lafayette Family Practice is a Family Medicine Physician in LA Fayette, Georgia. Licensed in Georgia. Registered with an NPI since 2007.

Licensed in
GA
In the registry since
2007

Practice location Address checks out

611 N Main St
LA Fayette, GA 30728-2241
Phone: (706) 638-5300
Fax: (706) 638-5323
Show map & directions

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 22056 (GA)

Record details

NPI number1508058066
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official George Shaw — Doctor · (706) 638-5300
NPI enumeratedAugust 17, 2007
Last updated in NPPESOctober 4, 2007
Mailing address611 N Main St, La Fayette, GA 30728-2241

Other providers in LA Fayette