P Praxis·MD
● Active Type 2 · Organization

Executive Medical Associates P.c.

Clinic/Center·Tucker, GA· NPI 1104204379 · Enumerated 2015 · 11 years on NPI
Executive Medical Associates P.c. is 1 of 730 clinic/center organizations in Georgia.
NPI age
11 years
Enumerated 2015-05-08
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Wilkes
Owner/medical Director
Last NPPES update
2015-05-08
Source: monthly bulk 2026-05

How this organization compares

Across 730 active clinic/center providers in Georgia.

NPI age
11 years
↑ 2 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2015 → 2026

2015-05Enumerated in NPPES
2015 2026

Where they practice

Primary practice location
4426 Hugh Howell Rd, Suite B303
Tucker, GA 300844918
📞 7705727574
Mailing address
59 Beams Way
Dallas, GA 301572517
📞 6787797038

Authorized official

Lee Wilkes, M.D.
Owner/medical Director
📞 7705727574

Individual providers at this organization

2 individual providers on file at this primary practice address.

Specialties

  • Clinic/Center Primary
    A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct...
    GA license #RN162951 taxonomy 261Q00000X

Practice context

Multi-provider organization. 2 individual providers on file at this primary address.

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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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