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ADVANCED INTERNAL MEDICINE
NPI 1669658829
Clinic/Center - Primary Care in Stockbridge, GA

Active since January 17, 2008
235 MEDICAL BLVD, SUITE B, STOCKBRIDGE, GA 30281(770) 960-8855(678) 565-1140 Get Directions Write a Review

NPPES record last updated: June 30, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Advanced Internal Medicine NPPES

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

ADVANCED INTERNAL MEDICINE (NPI 1669658829) is a healthcare organization registered as a primary care in Stockbridge, Georgia and active in the NPI registry since January 2008. The organization lists Faosat O Odemuyiwa, Manager, as its authorized official.

NPPES Registry Identity

NPI1669658829
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameADVANCED INTERNAL MEDICINE
Location Address235 MEDICAL BLVD, SUITE BStockbridge, GA 30281-7218
Mailing AddressPo Box 870116Morrow, GA 30287-0116 · (770) 960-8855 · Fax (678) 565-1140
Phone(770) 960-8855
Fax(678) 565-1140
Organization SubpartNo
Authorized OfficialFaosat O OdemuyiwaManager · (770) 960-8855
Enumeration DateJanuary 17, 2008
Last NPPES UpdateJune 30, 2010
✔ NPI 1669658829 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License✔ Licensed in GA · 07-12143
235 MEDICAL BLVD, Stockbridge, GA 30281
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Other Providers at the Same Location NPPES 2

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

DR. ABDULFATAI OLAOLU ODEMUYIWA M.D.
Internal Medicine
235 MEDICAL BLVD, SUITE B
STOCKBRIDGE, GA 30281
Henry County (770) 960-8855
ADVANCED DIGESTIVE CARE CENTER,P.C.
Internal Medicine (Gastroenterology)
235 MEDICAL BLVD, SUITE A
STOCKBRIDGE, GA 30281
Henry County (678) 783-0300

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 Advanced Internal Medicine's NPI number?

The NPI number for Advanced Internal Medicine is 1669658829. It was assigned to this organization in the NPPES registry on January 17, 2008.

Where is Advanced Internal Medicine located?

Advanced Internal Medicine is located at 235 Medical Blvd Suite B, Stockbridge, GA 30281. The listed phone number is (770) 960-8855.

What is Advanced Internal Medicine's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for Advanced Internal Medicine was last updated on June 30, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.