LILBURN MEDICAL CENTER PC
NPI 1083165294
Clinic/Center - Primary Care in Lilburn, GA

Active since October 23, 2016
4705 LAWRENCEVILLE HWY NW, LILBURN, GA 30047(770) 880-5788(404) 481-2062 Get Directions Write a Review

NPPES record last updated: March 30, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 30, 2017, Oct 23, 2016 (2 updates tracked since 2016).

About Lilburn Medical Center Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LILBURN MEDICAL CENTER PC (NPI 1083165294) is a healthcare organization registered as a primary care in Lilburn, Georgia and active in the NPI registry since October 2016. The organization lists Minsheng Wang, Owener, as its authorized official.

NPPES Registry Identity

NPI1083165294
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameLILBURN MEDICAL CENTER PC
Location Address4705 LAWRENCEVILLE HWY NWLilburn, GA 30047-3667
Mailing Address4705 Lawrenceville Hwy Nw, Suite BLilburn, GA 30047-3667 · (770) 880-5788 · Fax (404) 481-2062
Fax(404) 481-2062
Organization SubpartNo
Authorized OfficialMinsheng WangOwener · (770) 880-5788
Enumeration DateOctober 23, 2016
Last NPPES UpdateMarch 30, 20172 updates tracked since enumeration
NPI 1083165294 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License Licensed in GA · 15063657
4705 LAWRENCEVILLE HWY NW, Lilburn, GA 30047

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Podiatrist (Foot & Ankle Surgery)
4705 LAWRENCEVILLE HWY NW, SUITE C
LILBURN, GA 30047
Clinic/Center (Podiatric)
4705 LAWRENCEVILLE HWY NW, SUITE C
LILBURN, GA 30047

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lilburn Medical Center PC's NPI number?

The NPI number for Lilburn Medical Center PC is 1083165294. It was assigned to this organization in the NPPES registry on October 23, 2016.

Where is Lilburn Medical Center PC located?

Lilburn Medical Center PC is located at 4705 Lawrenceville Hwy NW, Lilburn, GA 30047. The listed phone number is (770) 880-5788.

What is Lilburn Medical Center PC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for Lilburn Medical Center PC was last updated on March 30, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.