GAMD PCP MEDICAL GROUP LLC NPI 1689485799

NPI Information

  • NPI: 1689485799
  • Provider Name: GAMD PCP MEDICAL GROUP LLC
  • Classification: Clinic/Center - 261QC1500X
  • Specialization: Community Health
  • Entity Type: Organization
  • Address: 5473 OLD FLOYD RD SW
    MABLETON, GA
    ZIP 30126
  • Phone: (480) 824-8446

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NPI Details

GAMD PCP MEDICAL GROUP LLC is a community health clinic center in Mableton, GA. GAMD PCP MEDICAL GROUP LLC NPI is 1689485799. The provider is registered as an organization entity type.

The provider's business location address is:

5473 OLD FLOYD RD SW
MABLETON, GA
ZIP 30126-203
Phone: (480) 824-8446

The provider's authorized official is Kwasi Badu .
The authorized official title is Manager and has the following contact phone number (480) 824-8446.

The enumeration date for this NPI number is 1/17/2025 and was last updated on 1/17/2025.

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
1251J00000XNursing CareNo
2261QC1500XClinic/CenterCommunity HealthYes
3261QP1100XClinic/CenterPodiatricNo
4305R00000XPreferred Provider OrganizationNo

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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