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EXECUTIVE MEDICAL ASSOCIATES P.C.
NPI 1104204379
Clinic/Center in Tucker, GA

Active since May 08, 2015
4426 HUGH HOWELL RD, SUITE B303, TUCKER, GA 30084(770) 572-7574 Get Directions Write a Review

NPPES record last updated: May 8, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Executive Medical Associates P.c. NPPES

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

EXECUTIVE MEDICAL ASSOCIATES P.C. (NPI 1104204379) is a healthcare organization registered as a clinic/center in Tucker, Georgia and active in the NPI registry since May 2015. The organization lists Lee Wilkes, Owner/medical Director, as its authorized official.

NPPES Registry Identity

NPI1104204379
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameEXECUTIVE MEDICAL ASSOCIATES P.C.
Location Address4426 HUGH HOWELL RD, SUITE B303Tucker, GA 30084-4918
Mailing Address59 Beams WayDallas, GA 30157-2517 · (678) 779-7038
Phone(770) 572-7574
Organization SubpartNo
Authorized OfficialLee WilkesOwner/medical Director · (770) 572-7574
Enumeration DateMay 8, 2015
✔ NPI 1104204379 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
License✔ Licensed in GA · RN162951
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
4426 HUGH HOWELL RD, Tucker, GA 30084
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Other Providers at the Same Location NPPES 4

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

MEADOWS MED GROUP INC
Family Medicine
4426 HUGH HOWELL RD, STE 429
TUCKER, GA 30084
Dekalb County (404) 667-9648
DR. KEISHA BROWN M.D.
Psychiatry & Neurology (Child & Adolescent Psychiatry)
4426 HUGH HOWELL RD, STE. B-332
TUCKER, GA 30084
Dekalb County (678) 522-6086
MR. TALMADGE LAMONT CHRISTIAN CSA
Specialist/Technologist, Other (Surgical Assistant)
4426 HUGH HOWELL RD, SUITE B-158
TUCKER, GA 30084
Dekalb County (678) 642-4736
PREMIERE INTERNATIONAL HEALTH CARE INC.
General Practice
4426 HUGH HOWELL RD, SUITE B-333
TUCKER, GA 30084
Dekalb County (770) 491-8667

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 Executive Medical Associates P.C.'s NPI number?

The NPI number for Executive Medical Associates P.C. is 1104204379. It was assigned to this organization in the NPPES registry on May 8, 2015.

Where is Executive Medical Associates P.C. located?

Executive Medical Associates P.C. is located at 4426 Hugh Howell Rd Suite B303, Tucker, GA 30084. The listed phone number is (770) 572-7574.

What is Executive Medical Associates P.C.'s specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Executive Medical Associates P.C. was last updated on May 8, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.