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METAMORPHOSIS MEDICAL GROUP
NPI 1538458690
Clinic/Center - Medical Specialty in Roswell, GA

Active since March 29, 2011
1792 WOODSTOCK RD, BLDG 300, ROSWELL, GA 30075(678) 218-1710(678) 218-1714 Get Directions Write a Review

NPPES record last updated: March 29, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Metamorphosis Medical Group NPPES

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

METAMORPHOSIS MEDICAL GROUP (NPI 1538458690) is a healthcare organization registered as a medical specialty in Roswell, Georgia and active in the NPI registry since March 2011. The organization lists Deborah Lyn Levich, Ceo, as its authorized official.

NPPES Registry Identity

NPI1538458690
Entity TypeOrganization
Primary Taxonomy261QM2500X
Legal Business NameMETAMORPHOSIS MEDICAL GROUP
Location Address1792 WOODSTOCK RD, BLDG 300Roswell, GA 30075-2199
Mailing Address1792 Woodstock Rd, Bldg 300Roswell, GA 30075-2199 · (678) 218-1710 · Fax (678) 218-1714
Phone(678) 218-1710
Fax(678) 218-1714
Organization SubpartNo
Authorized OfficialDeborah Lyn LevichCeo · (678) 218-1710
Enumeration DateMarch 29, 2011
✔ NPI 1538458690 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Medical SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM2500X
License✔ Licensed in GA · 044520
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
1792 WOODSTOCK RD, Roswell, GA 30075
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Other Providers at the Same Location NPPES 3

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

DR. ROBERT J SANBORN D.C.
Chiropractor
1792 WOODSTOCK RD, SUITE 450
ROSWELL, GA 30075
Fulton County (770) 579-3165
DR. KAREN J WEISS M.D.
Obstetrics & Gynecology (Gynecology)
1792 WOODSTOCK RD, BLDG 300
ROSWELL, GA 30075
Fulton County (678) 218-1710
DR. PATRICIA TAMBURRO D.C.
Chiropractor
1792 WOODSTOCK RD, SUITE #450
ROSWELL, GA 30075
Fulton County (678) 277-9695

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 Metamorphosis Medical Group's NPI number?

The NPI number for Metamorphosis Medical Group is 1538458690. It was assigned to this organization in the NPPES registry on March 29, 2011.

Where is Metamorphosis Medical Group located?

Metamorphosis Medical Group is located at 1792 Woodstock Rd Bldg 300, Roswell, GA 30075. The listed phone number is (678) 218-1710.

What is Metamorphosis Medical Group's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.

When was this NPI record last updated?

The NPPES record for Metamorphosis Medical Group was last updated on March 29, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.