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EVERGREEN MOBILE PRIMARY CARE LLC
NPI 1083557268
Nurse Practitioner - Family in Snellville, GA

Q: What is Evergreen Mobile Primary Care LLC's NPI number?

The NPI number for Evergreen Mobile Primary Care LLC is 1083557268. It was assigned to this organization in the NPPES registry on April 13, 2026.

Q: What is Evergreen Mobile Primary Care LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Active since April 13, 2026

2245 WISTERIA DR STE 200-1154, SNELLVILLE, GA 30078(770) 265-0864(770) 264-1879 Get Directions Write a Review

NPPES record last updated: July 1, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Evergreen Mobile Primary Care Llc NPPES

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

EVERGREEN MOBILE PRIMARY CARE LLC (NPI 1083557268) is a healthcare organization registered as a family in Snellville, Georgia and active in the NPI registry since April 2026. The organization lists Oluseun Ayodele Babatunde, Managing Member, as its authorized official.

NPPES Registry Identity

NPI1083557268

Entity TypeOrganization

Primary Taxonomy363LF0000X

Legal Business NameEVERGREEN MOBILE PRIMARY CARE LLC

Location Address2245 WISTERIA DR STE 200-1154Snellville, GA 30078-3798

Mailing Address2245 Wisteria Dr Ste 200-1154Snellville, GA 30078-3798 · (770) 265-0864 · Fax (770) 264-1879

Phone(770) 265-0864

Fax(770) 264-1879

Organization SubpartNo

Authorized OfficialOluseun Ayodele BabatundeManaging Member · (770) 265-0864

Enumeration DateApril 13, 2026

Last NPPES UpdateJuly 1, 2026

NPPES CertifiedJuly 1, 2026

✔ NPI 1083557268 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

2245 WISTERIA DR STE 200-1154, Snellville, GA 30078

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Evergreen Mobile Primary Care LLC's NPI number?

The NPI number for Evergreen Mobile Primary Care LLC is 1083557268. It was assigned to this organization in the NPPES registry on April 13, 2026.

Where is Evergreen Mobile Primary Care LLC located?

Evergreen Mobile Primary Care LLC is located at 2245 Wisteria Dr Ste 200-1154, Snellville, GA 30078. The listed phone number is (770) 265-0864.

What is Evergreen Mobile Primary Care LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Evergreen Mobile Primary Care LLC was last updated on July 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 40 days 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.