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GRUPO MEDICO DE GEORGIA, LLC
NPI 1639574890
Family Medicine in Norcross, GA

Active since October 30, 2014
5955 JIMMY CARTER BLVD, SUITE 100, NORCROSS, GA 30071(770) 559-3555 Get Directions Write a Review

NPPES record last updated: December 3, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 3, 2025, Jan 25, 2021 (2 updates tracked since 2021).

About Grupo Medico De Georgia, Llc NPPES

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

GRUPO MEDICO DE GEORGIA, LLC (NPI 1639574890) is a healthcare organization registered as a family medicine in Norcross, Georgia and active in the NPI registry since October 2014. The organization lists Eddy Lajara, General Manager, as its authorized official.

NPPES Registry Identity

NPI1639574890
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameGRUPO MEDICO DE GEORGIA, LLC
Location Address5955 JIMMY CARTER BLVD, SUITE 100Norcross, GA 30071-4641
Mailing Address4225 S Lee St Ste BBuford, GA 30518-3658 · (770) 831-9202
Phone(770) 559-3555
Organization SubpartNo
Authorized OfficialEddy LajaraGeneral Manager · (770) 831-9202
Enumeration DateOctober 30, 2014
Last NPPES UpdateDecember 3, 20252 updates tracked since enumeration
NPPES CertifiedDecember 3, 2025
✔ NPI 1639574890 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in GA · 38981
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedChiropractorTaxonomy 111N00000X · License CHIR008572 (GA)
Also ListedNurse PractitionerTaxonomy 363L00000X · License RN105078 (GA)
5955 JIMMY CARTER BLVD, Norcross, GA 30071
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Grupo Medico De Georgia, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Grupo Medico De Georgia, LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Judith Lutumba
Nurse Practitioner
NPI 1093937484
5955 JIMMY CARTER BLVD
Norcross, GA 30071
(770) 559-3555
✔ PECOSSame address
Bradford Gould, M.D.
Family Practice
NPI 1396895033
2878 FIVE FORKS TRICKUM RD 2A
Lawrenceville, GA 30044
(678) 344-8700
✔ PECOS✔ Accepts Medicare9.2 mi
Christopher Valentine, M.D.
General Practice
NPI 1679913628
4225 S LEE ST
Buford, GA 30518
(470) 326-3885
✔ 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 Grupo Medico De Georgia, LLC's NPI number?

The NPI number for Grupo Medico De Georgia, LLC is 1639574890. It was assigned to this organization in the NPPES registry on October 30, 2014.

Where is Grupo Medico De Georgia, LLC located?

Grupo Medico De Georgia, LLC is located at 5955 Jimmy Carter Blvd Suite 100, Norcross, GA 30071. The listed phone number is (770) 559-3555.

What is Grupo Medico De Georgia, LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Grupo Medico De Georgia, LLC enrolled in Medicare?

Yes. Grupo Medico De Georgia, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Grupo Medico De Georgia, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Grupo Medico De Georgia, LLC, in Family Practice, General Practice and Nurse Practitioner. 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. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Grupo Medico De Georgia, LLC accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 1 other insurer list Grupo Medico De Georgia, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Grupo Medico De Georgia, LLC was last updated on December 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.