NPI age
6 years
Enumerated 2019-11-08
● Active Type 2 · Organization
Royal Blue Medical Center Ga. Inc
Royal Blue Medical Center Ga. Inc is 1 of 661 general practice organizations in Georgia.
Primary specialty
General Practice
Plus 3 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Ellison
Owner
Last NPPES update
2020-09-08
Source: monthly bulk 2026-05
How this organization compares
Across 661 active general practice providers in Georgia.
NPI age
6 years
↓ 8 yr below median
Practice locations
1
0 secondary on file
Subspecialties
3
In the 35% of peers with subspecialties
NPI lifetime · 2019 → 2026
2019-11Enumerated in NPPES
2019
2026
Where they practice
Primary practice location
555 Old Norcross Rd Ste 100
Lawrenceville, GA 300468703
Mailing address
2023 Connonade Dr
Waxhaw, NC 281730109
Authorized official
Omar Ellison
Owner
📞 7042771750
Individual providers at this organization
1 individual provider on file at this primary practice address.
- Daniel Daugherty, MD Family Medicine NPI 1962493502
Specialties
-
General Practice PrimaryA physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
-
Clinic/CenterDefinition to come...
-
Physical Medicine & RehabilitationA physician who specializes in Sports Medicine is responsible for continuous care related to the enhancement of health and fitness as well as the prevention of injury and illness. The specialist possesses knowledge and experience in the...
-
Preventive MedicineA preventive medicine physician who specializes in the diagnosis and treatment of sports related conditions and injuries.
Other names on file (2)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Royal Blue Medical Center
-
Royal Blue Medical Center
Practice context
Multi-provider organization. 1 individual provider on file at this primary address.
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