P Praxis·MD
● Active Type 2 · Organization

Destiny Family Medical Center, Llc

Clinic/Center·Atlanta, GA· NPI 1902236656 · Enumerated 2013 · 12 years on NPI
Destiny Family Medical Center, Llc is 1 of 655 clinic/center organizations in Georgia.
NPI age
12 years
Enumerated 2013-11-16
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Ajibola
Chief Medical Officer
Last NPPES update
2013-11-16
Source: monthly bulk 2026-05

How this organization compares

Across 655 active clinic/center providers in Georgia.

NPI age
12 years
≈ at median (11 yr)
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2013 → 2026

2013-11Enumerated in NPPES
2013 2026

Where they practice

Primary practice location
3654 Chattahoochee Summit Dr Se
Atlanta, GA 303393254
📞 4047212444
Mailing address
3654 Chattahoochee Summit Dr Se
Atlanta, GA 303393254

Authorized official

Olakunle Ajibola
Chief Medical Officer
📞 4047212444

Specialties

  • Clinic/Center Primary
    Definition to come...
    GA license #064750 taxonomy 261QP2300X

Practice context

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

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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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