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Clarkston Primary & Urgent Care, LLC

Family Medicine Physician in Clarkston, GA · enumerated 2018 · authorized official Etsubdenke Areaya, Authorized Official.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1043781420

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Registry record

Entity type Organization (Type 2)
Legal business name Clarkston Primary & Urgent Care, LLC
Practice address 4600 E Ponce De Leon Ave Ste A, Clarkston, GA, 30021
Phone (770) 703-5408
Fax (877) 779-5837
Enumeration date Dec 11, 2018
Last updated in NPPES Dec 11, 2018

Taxonomy & classification

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians Primary

Authorized official

Name Etsubdenke Areaya
Title Authorized Official
Phone (678) 763-2247

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Clarkston Primary & Urgent Care, LLC?
The NPI for Clarkston Primary & Urgent Care, LLC is 1043781420, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Clarkston Primary & Urgent Care, LLC?
NPPES lists Etsubdenke Areaya (Authorized Official) as the authorized official for this organization.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2018-12-11.