NPI age
19 years
Enumerated 2007-04-02
● Active Type 2 · Organization
Executive Medical Healthcare Services
Executive Medical Healthcare Services is 1 of 5448 family medicine organizations in Georgia.
Primary specialty
Family Medicine
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Clark
Medical Director, Family Practice
Last NPPES update
2023-03-07
Source: monthly bulk 2026-05
How this organization compares
Across 5448 active family medicine providers in Georgia.
NPI age
19 years
↑ 2 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2007 → 2026
2007-04Enumerated in NPPES
2007
2026
Where they practice
Primary practice location
990 Bear Creek Blvd, Suite G
Hampton, GA 302281864
Mailing address
Po Box 224
Lovejoy, GA 302500224
Authorized official
Jelunder Clark, M.D.
Medical Director, Family Practice
📞 6784791234
Individual providers at this organization
3 individual providers on file at this primary practice address.
- Crystal Gardner, OD Optometrist NPI 1336349901
- Adegboyega Orelaja, PA Physician Assistant NPI 1518284884
- Taylor Whitner, BCBA Behavior Analyst NPI 1053072579
Specialties
-
Family Medicine PrimaryFamily Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | 11D1014694 | CLIA |
| 05 (GA) | 250161583A | |
| 01 (GA) | 042544 | MEDICAL LICENSE |
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Wellness Medicine
Practice context
Multi-provider organization. 3 individual providers on file at this primary address.
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- 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.