PRESTIGEHEALTH PRIMARY AND URGENT CARE LLC
NPI 1205405982
Clinic/Center - Multi-Specialty in Union City, GA

Active since June 17, 2021
3920 JONESBORO RD STE 3, UNION CITY, GA 30291(678) 387-2710 Get Directions Write a Review

NPPES record last updated: June 17, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Prestigehealth Primary And Urgent Care Llc NPPES

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

PRESTIGEHEALTH PRIMARY AND URGENT CARE LLC (NPI 1205405982) is a healthcare organization registered as a multi-specialty in Union City, Georgia and active in the NPI registry since June 2021. The organization lists Adegboyega Oyegbenga Orelaja, Manager, as its authorized official.

NPPES Registry Identity

NPI1205405982
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NamePRESTIGEHEALTH PRIMARY AND URGENT CARE LLC
Location Address3920 JONESBORO RD STE 3Union City, GA 30291-2258
Mailing Address3920 Jonesboro Rd Ste 3Union City, GA 30291-2258 · (678) 387-2710
Organization SubpartNo
Authorized OfficialAdegboyega Oyegbenga OrelajaManager · (678) 387-2710
Enumeration DateJune 17, 2021
NPPES CertifiedJune 17, 2021
✔ NPI 1205405982 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
3920 JONESBORO RD STE 3, Union City, GA 30291

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Prestigehealth Primary And Urgent Care Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Prestigehealth Primary And Urgent Care LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Internal Medicine
NPI 1851386320
735 PIEDMONT AVE NE
Atlanta, GA 30308
(404) 881-6910
✔ PECOS✔ Accepts Medicare17 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Prestigehealth Primary And Urgent Care LLC's NPI number?

The NPI number for Prestigehealth Primary And Urgent Care LLC is 1205405982. It was assigned to this organization in the NPPES registry on June 17, 2021.

Where is Prestigehealth Primary And Urgent Care LLC located?

Prestigehealth Primary And Urgent Care LLC is located at 3920 Jonesboro Rd Ste 3, Union City, GA 30291. The listed phone number is (678) 387-2710.

What is Prestigehealth Primary And Urgent Care LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

Is Prestigehealth Primary And Urgent Care LLC enrolled in Medicare?

Yes. Prestigehealth Primary And Urgent Care LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Prestigehealth Primary And Urgent Care LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Prestigehealth Primary And Urgent Care LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Prestigehealth Primary And Urgent Care LLC was last updated on June 17, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.