EAST POINT PRIMARY CARE CENTER PC NPI 1023186384

NPI Information

  • NPI: 1023186384
  • Provider Name: EAST POINT PRIMARY CARE CENTER, PC
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • CLIA Number: 11D0951816
  • Address: 1203 CLEVELAND AVE
    SUITE 2-D
    EAST POINT, GA
    ZIP 30344
  • Phone: (404) 684-7111

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NPI Details

EAST POINT PRIMARY CARE CENTER, PC is a family medicine in East Point, GA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. EAST POINT PRIMARY CARE CENTER, PC NPI is 1023186384. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1203 CLEVELAND AVE
SUITE 2-D
EAST POINT, GA
ZIP 30344-417
Phone: (404) 684-7111
Fax: (404) 684-7112

The provider's authorized official is Oladayo Adisa Osinuga .
The authorized official title is President and has the following contact phone number (404) 684-7111.

The CLIA number assigned to this NPI record is 11D0951816 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/2/2006 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily Medicine051703GEORGIAYes
2207R00000XInternal Medicine051703GEORGIAX

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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