P Praxis·MD
● Active Type 2 · Organization

Metamorphosis Medical Group

Clinic/Center·Roswell, GA· NPI 1538458690 · Enumerated 2011 · 15 years on NPI
Metamorphosis Medical Group is 1 of 196 clinic/center organizations in Georgia.
NPI age
15 years
Enumerated 2011-03-29
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Levich
Ceo
Last NPPES update
2011-03-29
Source: monthly bulk 2026-05

How this organization compares

Across 196 active clinic/center providers in Georgia.

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

NPI lifetime · 2011 → 2026

2011-03Enumerated in NPPES
2011 2026

Where they practice

Primary practice location
1792 Woodstock Rd, Bldg 300
Roswell, GA 300752199
📞 6782181710fax 6782181714
Mailing address
1792 Woodstock Rd, Bldg 300
Roswell, GA 300752199
📞 6782181710fax 6782181714

Authorized official

Deborah Lyn Levich, MD
Ceo
📞 6782181710

Individual providers at this organization

3 individual providers on file at this primary practice address.

Specialties

  • Clinic/Center Primary
    An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or...
    GA license #044520 taxonomy 261QM2500X

Practice context

Multi-provider organization. 3 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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