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

Professional Park Medical Services, PC

Organization Family Medicine Physician · NPI 1386662849

Professional Park Medical Services, PC is a Family Medicine Physician in Carrollton, Georgia. Registered with an NPI since 2006.

In the registry since
2006
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

Suite 202 100 Professional Park
Carrollton, GA 30117
Phone: (770) 832-6861
Fax: (770) 832-9432
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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

Record details

NPI number1386662849
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jefferson Gordon — Family Practice Md · (770) 832-6861
NPI enumeratedJuly 17, 2006
Last updated in NPPESMarch 4, 2016
Mailing addressSuite 202, 100 Professional Park, Carrollton, GA 30117

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