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Centerwell Senior Primary Care Ga PC

Internal Medicine Physician in Stone Mountain, GA · enumerated 2021 · authorized official Angie Martinez, Credentialing Supervisor.

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

National Provider Identifier

1760059331

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Registry record

Entity type Organization (Type 2)
Legal business name Centerwell Senior Primary Care Ga PC
Other name <Unavail>
Parent organization Centerwell Senior Primary Care Ga PC
Practice address 5244 Memorial Dr Ste 1101, Stone Mountain, GA, 30083
Phone (404) 905-0100
Fax (877) 890-2406
Enumeration date Jun 10, 2021
Last updated in NPPES Jul 3, 2024

Taxonomy & classification

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians Secondary
207R00000X Internal Medicine Physician Allopathic & Osteopathic Physicians Primary
208D00000X General Practice Physician Allopathic & Osteopathic Physicians Secondary

Authorized official

Name Angie Martinez
Title Credentialing Supervisor
Phone (407) 447-7120

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 type of organization is Centerwell Senior Primary Care Ga PC?
Centerwell Senior Primary Care Ga PC is registered in NPPES as a Internal Medicine Physician (its primary provider taxonomy).
What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2024-07-03.