Provider Type Icon

MEDIC ONE LLC NPI 1255690475


NPI Information

NPI: 1255690475
Provider Name: MEDIC ONE LLC
Classification: Family Medicine - 207QA0505X
Entity Type: Organization

Specialization: Adult Medicine

Address:
2621 SANDY PLAINS RD
SUITE 304
MARIETTA, GA
ZIP 30066
Phone: (770) 894-3167
Get Directions

MEDIC ONE LLC is an adult medicine family medicine in Marietta, GA. The provider is the National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code. MEDIC ONE LLC NPI is 1255690475. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

2621 SANDY PLAINS RD
SUITE 304
MARIETTA, GA
ZIP 30066-267
Phone: (770) 894-3167
Fax: (770) 575-0879

The provider's authorized official is Adesupo Oshiyoye .
The authorized official title is Treasurer and has the following contact phone number (770) 894-3167.

The enumeration date for this NPI number is 5/8/2012 and was last updated on 5/8/2012.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207QA0505XFamily MedicineAdult Medicine51736GEORGIAYes

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: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.