MEDIC ONE LLC
NPI 1255690475
Family Medicine - Adult Medicine in Marietta, GA

Q: What is Medic One LLC's NPI number?

The NPI number for Medic One LLC is 1255690475. It was assigned to this organization in the NPPES registry on May 8, 2012.

Q: What is Medic One LLC's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Adult Medicine, with taxonomy code 207QA0505X.

Q: When was this NPI record last updated?

The NPPES record for Medic One LLC was last updated on May 8, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.

Active since May 08, 2012

2621 SANDY PLAINS RD, SUITE 304, MARIETTA, GA 30066(770) 894-3167(770) 575-0879 Get Directions Write a Review

NPPES record last updated: May 8, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Medic One Llc NPPES

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

MEDIC ONE LLC (NPI 1255690475) is a healthcare organization registered as an adult medicine in Marietta, Georgia and active in the NPI registry since May 2012. The organization lists Adesupo Oshiyoye, Treasurer, as its authorized official.

NPPES Registry Identity

NPI1255690475

Entity TypeOrganization

Primary Taxonomy207QA0505X

Legal Business NameMEDIC ONE LLC

Location Address2621 SANDY PLAINS RD, SUITE 304Marietta, GA 30066-4267

Mailing AddressPo Box 670508Marietta, GA 30066-0126 · (770) 894-3167 · Fax (770) 575-0879

Phone(770) 894-3167

Fax(770) 575-0879

Organization SubpartNo

Authorized OfficialAdesupo OshiyoyeTreasurer · (770) 894-3167

Enumeration DateMay 8, 2012

✔ NPI 1255690475 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Adult MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207QA0505X

License✔ Licensed in GA · 51736

Definition

The National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code.

2621 SANDY PLAINS RD, Marietta, GA 30066

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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 MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

KERRI LYNNE GOLDING LCSW

Social Worker (Clinical)

2621 SANDY PLAINS RD, 303
MARIETTA, GA 30066

Cobb County (770) 971-3890

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 Medic One LLC's NPI number?

The NPI number for Medic One LLC is 1255690475. It was assigned to this organization in the NPPES registry on May 8, 2012.

Where is Medic One LLC located?

Medic One LLC is located at 2621 Sandy Plains Rd Suite 304, Marietta, GA 30066. The listed phone number is (770) 894-3167.

What is Medic One LLC's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Adult Medicine, with taxonomy code 207QA0505X.

When was this NPI record last updated?

The NPPES record for Medic One LLC was last updated on May 8, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.