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Ebt Holdings of Georgia Incorporated

Family Medicine Physician in Lawrenceville, GA · enumerated 2023 · authorized official Enrique Massuet Valdes, Vice President.

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

National Provider Identifier

1871287250

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Registry record

Entity type Organization (Type 2)
Legal business name Ebt Holdings of Georgia Incorporated
Practice address 1430 Five Forks Trickum Rd Ste 220, Lawrenceville, GA, 30044
Phone (786) 352-7021
Fax (786) 698-1632
Enumeration date Jun 7, 2023
Last updated in NPPES Dec 5, 2023

Taxonomy & classification

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians Primary

Authorized official

Name Enrique Massuet Valdes
Title Vice President
Phone (786) 352-7021

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 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.
What type of organization is Ebt Holdings of Georgia Incorporated?
Ebt Holdings of Georgia Incorporated is registered in NPPES as a Family Medicine Physician (its primary provider taxonomy).

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2023-12-05.