COMPREHENSIVE PRIMARY CARE LLC NPI 1487120820

NPI Information

  • NPI: 1487120820
  • Provider Name: COMPREHENSIVE PRIMARY CARE, LLC
  • Classification: Clinic/Center - 261QP2300X
  • Specialization: Primary Care
  • Entity Type: Organization
  • CLIA Number: 11D2157054
  • Address: 761 WALTHER ROAD SUITE 200
    LAWRENCEVILLE, GA
    ZIP 30046
  • Phone: (678) 888-2273

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NPI Details

COMPREHENSIVE PRIMARY CARE, LLC is a primary care clinic center in Lawrenceville, GA. COMPREHENSIVE PRIMARY CARE, LLC NPI is 1487120820. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

761 WALTHER ROAD SUITE 200
LAWRENCEVILLE, GA
ZIP 30046
Phone: (678) 888-2273
Fax: (678) 888-2200

The provider's authorized official is Rekha Kesavan .
The authorized official title is Physician/owner and has the following contact phone number (678) 296-5504.

The CLIA number assigned to this NPI record is 11D2157054 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/23/2018 and was last updated on 8/5/2024.

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
1207RE0101XInternal MedicineEndocrinology, Diabetes & MetabolismNo
2207RR0500XInternal MedicineRheumatologyNo
3261QP2300XClinic/CenterPrimary CareYes

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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