P Praxis·MD
● 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.

  • Thelwell Immediate Care Clinic Inc
    Type code 4 recorded 2019-10-14

Practice context

Single-site organization. Only one practice location on file.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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