ROSWELL MEDICAL GROUP LLC NPI 1275903296

NPI Information

NPI: 1275903296
Provider Name: ROSWELL MEDICAL GROUP, LLC
Classification: General Practice - 208D00000X
Entity Type: Organization
Address: 11040 CRABAPPLE RD
ROSWELL, GA
ZIP 30075
Phone: (678) 878-3551

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NPI Details

ROSWELL MEDICAL GROUP, LLC is a general practice in Roswell, GA. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee ROSWELL MEDICAL GROUP, LLC NPI is 1275903296. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

11040 CRABAPPLE RD
ROSWELL, GA
ZIP 30075-457
Phone: (678) 878-3551
Fax: (678) 878-3552

The provider's authorized official is Alexander K Gebhardt .
The authorized official title is Owner and has the following contact phone number (678) 878-3551.

The enumeration date for this NPI number is 10/2/2015 and was last updated on 4/3/2017.

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	License Number	License State	Primary
1	111N00000X	Chiropractor	CHIR007542	GEORGIA	No
2	208D00000X	General Practice	26935	GEORGIA	No
3	208D00000X	General Practice	20987	GEORGIA	Yes

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: 11/21/2025

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