NPI age
20 years
Enumerated 2006-05-25
● Active Type 2 · Organization
Marietta Medical Group
Marietta Medical Group is 1 of 655 clinic/center organizations in Georgia.
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Vannoy
Doctor
Last NPPES update
2009-08-10
Source: monthly bulk 2026-05
How this organization compares
Across 655 active clinic/center providers in Georgia.
NPI age
20 years
↑ 9 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2006 → 2026
2006-05Enumerated in NPPES
2006
2026
Where they practice
Primary practice location
741 Chance Rd
Marietta, GA 300663711
Mailing address
741 Chance Rd
Marietta, GA 300663711
Authorized official
Imani D. Vannoy, M.D.
Doctor
📞 7709775355
Individual providers at this organization
1 individual provider on file at this primary practice address.
- Imani Vannoy, M.D. Internal Medicine NPI 1376596783
Specialties
-
Clinic/Center PrimaryDefinition to come...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 000356617A |
Practice context
Multi-provider organization. 1 individual provider on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.