GAMD PCP MEDICAL GROUP LLC
NPI 1689485799
Clinic/Center - Community Health in Mableton, GA

Active since January 17, 2025
5473 OLD FLOYD RD SW, MABLETON, GA 30126(480) 824-8446 Get Directions Write a Review

NPPES record last updated: January 17, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Gamd Pcp Medical Group Llc NPPES

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

GAMD PCP MEDICAL GROUP LLC (NPI 1689485799) is a healthcare organization registered as a community health in Mableton, Georgia and active in the NPI registry since January 2025. The organization lists Kwasi Badu, Manager, as its authorized official.

NPPES Registry Identity

NPI1689485799
Entity TypeOrganization
Primary Taxonomy261QC1500X
Legal Business NameGAMD PCP MEDICAL GROUP LLC
Location Address5473 OLD FLOYD RD SWMableton, GA 30126-2203
Mailing Address5473 Old Floyd Rd SwMableton, GA 30126-2203 · (480) 824-8446
Organization SubpartNo
Authorized OfficialKwasi BaduManager · (480) 824-8446
Enumeration DateJanuary 17, 2025
NPPES CertifiedJanuary 17, 2025
✔ NPI 1689485799 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyClinic/Center · Community HealthAmbulatory Health Care Facilities
Taxonomy Code261QC1500X
Also ListedNursing CareTaxonomy 251J00000X
Also ListedClinic/Center · PodiatricTaxonomy 261QP1100X
Also ListedPreferred Provider OrganizationTaxonomy 305R00000X
5473 OLD FLOYD RD SW, Mableton, GA 30126

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Gamd Pcp Medical Group Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Gamd Pcp Medical Group LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Neurology
NPI 1316172513
2623 N CLARK ST
Chicago, IL 60614
(312) 722-6977
✔ PECOS✔ Accepts Medicare584 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 Gamd Pcp Medical Group LLC's NPI number?

The NPI number for Gamd Pcp Medical Group LLC is 1689485799. It was assigned to this organization in the NPPES registry on January 17, 2025.

Where is Gamd Pcp Medical Group LLC located?

Gamd Pcp Medical Group LLC is located at 5473 Old Floyd Rd SW, Mableton, GA 30126. The listed phone number is (480) 824-8446.

What is Gamd Pcp Medical Group LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Community Health, with taxonomy code 261QC1500X.

Is Gamd Pcp Medical Group LLC enrolled in Medicare?

Yes. Gamd Pcp Medical Group LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Gamd Pcp Medical Group LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Neurology) reassigns their Medicare billing to Gamd Pcp Medical Group LLC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Gamd Pcp Medical Group LLC was last updated on January 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.