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GODEL FIRST MEDICAL CLINIC
NPI 1558665653
Clinic/Center in Stone Mountain, GA

Active since January 04, 2011
1525 E PARK PLACE BLVD, SUITE 300, STONE MOUNTAIN, GA 30087(770) 879-7707(770) 879-7708 Get Directions Write a Review

NPPES record last updated: December 20, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Godel First Medical Clinic NPPES

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

GODEL FIRST MEDICAL CLINIC (NPI 1558665653) is a healthcare organization registered as a clinic/center in Stone Mountain, Georgia and active in the NPI registry since January 2011. The organization lists Ellis Ifeanyichukwu Efobi, Ceo, as its authorized official.

NPPES Registry Identity

NPI1558665653
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameGODEL FIRST MEDICAL CLINICS INC.
Location Address1525 E PARK PLACE BLVD, SUITE 300Stone Mountain, GA 30087-3453
Mailing Address1525 E Park Place Blvd, Suite 300Stone Mountain, GA 30087-3453 · (770) 879-7707 · Fax (770) 879-7708
Phone(770) 879-7707
Fax(770) 879-7708
Organization SubpartNo
Authorized OfficialEllis Ifeanyichukwu EfobiCeo · (770) 879-7707
Enumeration DateJanuary 4, 2011
Last NPPES UpdateDecember 20, 2012
✔ NPI 1558665653 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
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).

1525 E PARK PLACE BLVD, Stone Mountain, GA 30087
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Other Names 1

Doing Business AsGodel First Medical Clinic

Other Identifiers 1

Medicaid594981959AGA

Other Providers at the Same Location NPPES 5

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

DR. KOFI OTENG GYANG O.D
Optometrist
1525 E PARK PLACE BLVD, #1100,
STONE MOUNTAIN, GA 30087
Dekalb County (770) 498-3434
RENECA CONTRACTING & CONSULTANT
Clinic/Center (Health Service)
1525 E PARK PLACE BLVD, SUITE 300
STONE MOUNTAIN, GA 30087
Dekalb County (770) 879-7707
SMILES FOR LESS
Dentist
1525 E PARK PLACE BLVD
STONE MOUNTAIN, GA 30087
Dekalb County (770) 879-0845
DR. ELIZABETH IMADE SOBANJO O.D
Optometrist
1525 E PARK PLACE BLVD, SUITE 1800
STONE MOUNTAIN, GA 30087
Dekalb County (770) 498-3434
WATERWORKSNOW, INCORPORATED
Clinic/Center (Health Service)
1525 E PARK PLACE BLVD, SUITE 1800
STONE MOUNTAIN, GA 30087
Dekalb County (678) 558-6767

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 Godel First Medical Clinics Inc.'s NPI number?

The NPI number for Godel First Medical Clinics Inc. is 1558665653. It was assigned to this organization in the NPPES registry on January 4, 2011. The provider is doing business as Godel First Medical Clinic.

Where is Godel First Medical Clinics Inc. located?

Godel First Medical Clinics Inc. is located at 1525 E Park Place Blvd Suite 300, Stone Mountain, GA 30087. The listed phone number is (770) 879-7707.

What is Godel First Medical Clinics Inc.'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 Godel First Medical Clinics Inc. was last updated on December 20, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.