● Active Type 2 · Organization
Advance Care Medical Pcp Georgia, Inc.
Clinic/Center·Kennesaw, GA· NPI 1588312946
·
Enumerated 2022 · 4 years on NPI
Advance Care Medical Pcp Georgia, Inc. is 1 of 655 clinic/center organizations in Georgia.
NPI age
4 years
Enumerated 2022-03-15
Primary specialty
Clinic/Center
Plus 1 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Smith
Executive Chairman
Last NPPES update
2022-03-15
Source: monthly bulk 2026-05
How this organization compares
Across 655 active clinic/center providers in Georgia.
NPI age
4 years
↓ 7 yr below median
Practice locations
1
0 secondary on file
Subspecialties
1
In the 15% of peers with subspecialties
NPI lifetime · 2022 → 2026
2022-03Enumerated in NPPES
2022
2026
Where they practice
Primary practice location
4300 Bells Ferry Rd Nw
Kennesaw, GA 301441304
📞 8666682188
Mailing address
3 School St Ste 303
Glen Cove, NY 115422548
📞 8666682188
Authorized official
Justin Smith
Executive Chairman
📞 8666682188
Specialties
-
Clinic/Center
Primary
Definition to come...
taxonomy 261QP2300X
-
Clinic/Center
Definition to come...
taxonomy 261QM1300X
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
Practice context
Single-site organization. Only one practice location on file.
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How to verify this organization
- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.