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

Northcrest Family Medicine LLC

Organization Family Medicine Physician · NPI 1255465217

Northcrest Family Medicine LLC is a Family Medicine Physician in Canton, Georgia. Licensed in Georgia. Registered with an NPI since 2007.

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

See every abbreviation used in this directory →

Practice location Address checks out

7768 Cumming Hwy Ste 300
Canton, GA 30114-9314
Phone: (770) 720-2113
Fax: (770) 704-7365
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 056102 (GA)

Record details

NPI number1255465217
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official John Jackson — Md / Owner · (770) 655-1408
NPI enumeratedMarch 14, 2007
Last updated in NPPESMarch 22, 2013
Mailing address7768 Cumming Hwy. Ste 300, Canton, GA 30114

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