OLD NATIONAL PRIMARY CARE CLINIC, LLC
NPI 1376829028
Internal Medicine in Atlanta, GA

Q: What is Old National Primary Care Clinic, LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Active since October 26, 2011

5185 OLD NATIONAL HWY, ATLANTA, GA 30349(404) 763-9300(404) 763-9306 Get Directions Write a Review

NPPES record last updated: May 10, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Old National Primary Care Clinic, Llc NPPES

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

OLD NATIONAL PRIMARY CARE CLINIC, LLC (NPI 1376829028) is a healthcare organization registered as an internal medicine in Atlanta, Georgia and active in the NPI registry since October 2011. The organization lists Eva Isabelle Beaulieu, Owner, as its authorized official.

NPPES Registry Identity

NPI1376829028

Entity TypeOrganization

Primary Taxonomy207R00000X

Legal Business NameOLD NATIONAL PRIMARY CARE CLINIC, LLC

Location Address5185 OLD NATIONAL HWYAtlanta, GA 30349-3244

Mailing Address1065 Jodeco RdStockbridge, GA 30281-4953 · (678) 284-6300 · Fax (678) 284-6336

Phone(404) 763-9300

Fax(404) 763-9306

Organization SubpartNo

Authorized OfficialEva Isabelle BeaulieuOwner · (786) 556-0495

Enumeration DateOctober 26, 2011

Last NPPES UpdateMay 10, 2013

✔ NPI 1376829028 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in GA · 066254

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

5185 OLD NATIONAL HWY, Atlanta, GA 30349

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Other Identifiers 1

Medicare PIN202G709462GA

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

Other Providers at the Same Location NPPES 11

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

SOUTH ATLANTA URGENT CARE CLINIC LLC

Non-Pharmacy Dispensing Site

5185 OLD NATIONAL HWY
ATLANTA, GA 30349

Fulton County (609) 703-5097

SOUTH ATLANTA URGENT CARE CLINIC LLC

Clinic/Center (Urgent Care)

5185 OLD NATIONAL HWY
ATLANTA, GA 30349

Fulton County (404) 763-9300

METRO ATLANTA INJURY WELLNESS GA

Chiropractor

5185 OLD NATIONAL HWY
ATLANTA, GA 30349

Fulton County (678) 653-5845

NIKOLE S FLOWERS

Nurse Practitioner (Family)

5185 OLD NATIONAL HWY
ATLANTA, GA 30349

Fulton County (404) 763-9300

NYESHIA SHERELLE COHILL

Nurse Practitioner

5185 OLD NATIONAL HWY
COLLEGE PARK, GA 30349

Fulton County (404) 763-9300

SWIFT HEALTH CARE GROUP LLC

Internal Medicine

5185 OLD NATIONAL HWY
ATLANTA, GA 30349

Fulton County (770) 598-0093

AMY YORK

Student in an Organized Health Care Education/Training Program

5185 OLD NATIONAL HWY
COLLEGE PARK, GA 30349

Fulton County (404) 763-9300

SWIFT FAMILY PRACTICE

Family Medicine

5185 OLD NATIONAL HWY
COLLEGE PARK, GA 30349

Fulton County (404) 763-9300

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 Old National Primary Care Clinic, LLC's NPI number?

The NPI number for Old National Primary Care Clinic, LLC is 1376829028. It was assigned to this organization in the NPPES registry on October 26, 2011.

Where is Old National Primary Care Clinic, LLC located?

Old National Primary Care Clinic, LLC is located at 5185 Old National Hwy, Atlanta, GA 30349. The listed phone number is (404) 763-9300.

What is Old National Primary Care Clinic, LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for Old National Primary Care Clinic, LLC was last updated on May 10, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.