P Praxis·MD
● Active Type 2 · Organization Subpart

Centerwell Senior Primary Care Ga Pc

Internal Medicine·Dallas, GA· NPI 1366269367 · Enumerated 2024 · 1 years on NPI
Centerwell Senior Primary Care Ga Pc is 1 of 5027 internal medicine organizations in Georgia.
NPI age
1 years
Enumerated 2024-09-23
Primary specialty
Internal Medicine
Plus 2 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Martinez
Senior Credentialing Professional
Last NPPES update
2024-12-17
Source: monthly bulk 2026-05

How this organization compares

Across 5027 active internal medicine providers in Georgia.

NPI age
1 years
↓ 17 yr below median
Practice locations
1
0 secondary on file
Subspecialties
2
In the 32% of peers with subspecialties

NPI lifetime · 2024 → 2026

2024-09Enumerated in NPPES
2024 2026

Where they practice

Primary practice location
3615 Charles Hardy Pkwy # 200
Dallas, GA 301579472
📞 6789416247fax 6782939610
Mailing address
6101 Blue Lagoon Dr Ste 200
Miami, FL 331263168
📞 4074477120fax 4077700661

Authorized official

Angie Martinez
Senior Credentialing Professional
📞 4074477120

Specialties

  • Internal Medicine Primary
    A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer,...
    taxonomy 207R00000X
  • Family Medicine
    Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of...
    taxonomy 207Q00000X
  • General Practice
    A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
    taxonomy 208D00000X

Other names on file (2)

Doing-business-as, former, and alternate names recorded by NPPES.

  • CenterWell Senior Primary Care-East Paulding
    Type code 3 recorded 2024-12-17
  • CenterWell Senior Primary Care-East Paulding
    Type code 3 recorded 2024-09-23

Practice context

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

Subpart of Centerwell Senior Primary Care Ga Pc.

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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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