ADVANCED INTERNAL MEDICINE
NPI 1669658829
Clinic/Center - Primary Care in Stockbridge, GA
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
Specialties & Licenses
Accepted 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)
Advanced Internal Medicine is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to Advanced Internal Medicine, 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)
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 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.
Is Advanced Internal Medicine enrolled in Medicare?
Yes. Advanced Internal Medicine is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Advanced Internal Medicine?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Advanced Internal Medicine, in Internal Medicine, Nurse Practitioner and Physician Assistant. 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 Advanced Internal Medicine accept?
Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Advanced Internal Medicine 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 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.
# Advanced Internal Medicine · NPI 1669658829
Primary Care organization in Stockbridge, Georgia. Organization record, active in the CMS NPPES registry since January 17, 2008.
## Identity
- **NPI:** 1669658829 (Entity type: Organization)
- **Enumerated:** January 17, 2008
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Organization subpart:** No
- **Authorized official:** Faosat Odemuyiwa, MANAGER
## Practice location
- **Address:** 235 MEDICAL BLVD, SUITE B, Stockbridge, GA 30281-7218
- **Phone:** (770) 960-8855 · **Fax:** (678) 565-1140
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 3 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Internal Medicine (1), Nurse Practitioner (1), Physician Assistant (1); 1 practice at this address and 2 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 30, 2010
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Source: [NPI Profile](https://npiprofile.com/npi/1669658829) · Data from the CMS NPPES public registry.