P Praxis·MD
● Active Type 2 · Organization

Advanced Internal Medicine

Clinic/Center·Stockbridge, GA· NPI 1669658829 · Enumerated 2008 · 18 years on NPI
Advanced Internal Medicine is 1 of 655 clinic/center organizations in Georgia.
NPI age
18 years
Enumerated 2008-01-17
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Odemuyiwa
Manager
Last NPPES update
2010-06-30
Source: monthly bulk 2026-05

How this organization compares

Across 655 active clinic/center providers in Georgia.

NPI age
18 years
↑ 7 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2008 → 2026

2008-01Enumerated in NPPES
2008 2026

Where they practice

Primary practice location
235 Medical Blvd, Suite B
Stockbridge, GA 302817218
📞 7709608855fax 6785651140
Mailing address
Po Box 870116
Morrow, GA 302870116
📞 7709608855fax 6785651140

Authorized official

Faosat O Odemuyiwa, MSC
Manager
📞 7709608855

Individual providers at this organization

1 individual provider on file at this primary practice address.

Specialties

  • Clinic/Center Primary
    Definition to come...
    GA license #07-12143 taxonomy 261QP2300X

Practice context

Multi-provider organization. 1 individual provider 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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