● Active Type 2 · Organization
Thelwell Immediate Care Clinic Inc
Clinic/Center·Mableton, GA· NPI 1083256804
·
Enumerated 2019 · 6 years on NPI
Thelwell Immediate Care Clinic Inc is 1 of 354 clinic/center organizations in Georgia.
NPI age
6 years
Enumerated 2019-10-14
Primary specialty
Clinic/Center
Plus 6 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Evbuomwan
Physician Assistant
Last NPPES update
2019-10-14
Source: monthly bulk 2026-05
How this organization compares
Across 354 active clinic/center providers in Georgia.
NPI age
6 years
↓ 4 yr below median
Practice locations
1
0 secondary on file
Subspecialties
6
In the 22% of peers with subspecialties
NPI lifetime · 2019 → 2026
2019-10Enumerated in NPPES
2019
2026
Where they practice
Primary practice location
1400 Veterans Memorial Highway Se Suite 134 #176
Mableton, GA 30126
📞 6464021122
Mailing address
1400 Veterans Memorial Highway Se Suite 134 #176
Mableton, GA 30126
📞 6464021122
Authorized official
Enoma Evbuomwan, PA-C
Physician Assistant
📞 6464021122
Specialties
-
Clinic/Center
Primary
Definition to come...
taxonomy 261QU0200X
-
Clinic/Center
Definition to come...
taxonomy 261QH0100X
-
Clinic/Center
Definition to come...
taxonomy 261QP2300X
-
Clinic/Center
Definition to come...
taxonomy 261QV0200X
-
Clinic/Center
Definition to come...
taxonomy 261QR1300X
-
Nurse Practitioner
Definition to come...
taxonomy 363LF0000X
-
Physician Assistant
Definition to come...
taxonomy 363AM0700X
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
Practice context
Single-site organization. Only one practice location on file.
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How to verify this organization
- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.