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

Spirit of Key West LLC

Organization Primary Care Clinic/Center · NPI 1881138279

Spirit of Key West LLC is a Primary Care Clinic/Center in Buford, Georgia. Works from 2 locations. Licensed in Georgia.

Licensed in
GA
In the registry since
2016
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

5629 Holiday Rd
Buford, GA 30518-1519
Phone: (678) 765-8622
Fax: (678) 765-8621
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 110 Peachtree Industrial Blvd Ste A, Sugar Hill, GA 30518-6288 — (678) 765-8622

Specialties & licences

Primary Care Clinic/Center (primary) Taxonomy 261QP2300X · Licence 75152 (GA)

Record details

NPI number1881138279
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jana Himmelbaum — Owner · (678) 765-8622
Other names Lake Lanier Pediatrics; Suwanahoochee Pediatrics
NPI enumeratedDecember 5, 2016
Last updated in NPPESMarch 7, 2025
Certification dateMarch 7, 2025
Mailing address5629 Holiday Rd, Buford, GA 30518-1519

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