PRIMARY MEDICAL CARE GROUP
NPI 1689737603
Family Medicine - Adult Medicine in Decatur, GA
About Primary Medical Care Group NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PRIMARY MEDICAL CARE GROUP (NPI 1689737603) is a healthcare organization registered as an adult medicine in Decatur, Georgia and active in the NPI registry since December 2006. The organization holds a CLIA Waiver certificate valid through December 10, 2026 and lists Musibau A Ibraheem, Physician Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
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)
Primary Medical Care Group 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 Primary Medical Care Group, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 11D1062227
Primary Medical Care Group · Decatur, GAFrequently 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 Primary Medical Care Group's NPI number?
The NPI number for Primary Medical Care Group is 1689737603. It was assigned to this organization in the NPPES registry on December 19, 2006.
Where is Primary Medical Care Group located?
Primary Medical Care Group is located at 5322 Snapfinger Park Dr, Decatur, GA 30035. The listed phone number is (404) 289-9784.
What is Primary Medical Care Group's specialty?
The primary specialty registered for this NPI is Family Medicine, specializing in Adult Medicine, with taxonomy code 207QA0505X.
Is Primary Medical Care Group enrolled in Medicare?
Yes. Primary Medical Care Group is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Primary Medical Care Group?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Primary Medical Care Group. 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.
Does Primary Medical Care Group hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 11D1062227) is associated with this NPI, valid through December 10, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Primary Medical Care Group accept?
Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Primary Medical Care Group 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 Primary Medical Care Group was last updated on March 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Primary Medical Care Group · NPI 1689737603
Adult Medicine organization in Decatur, Georgia. Organization record, active in the CMS NPPES registry since December 19, 2006.
## Identity
- **NPI:** 1689737603 (Entity type: Organization)
- **Enumerated:** December 19, 2006
- **Primary specialty:** Family Medicine - Adult Medicine · taxonomy 207QA0505X
- **Organization subpart:** No
- **Authorized official:** Musibau Ibraheem, PHYSICIAN OWNER
## Practice location
- **Address:** 5322 SNAPFINGER PARK DR, Decatur, GA 30035-4040
- **Phone:** (404) 289-9784 · **Fax:** (404) 289-9785
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Family Practice) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 29, 2021
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1689737603) · Data from the CMS NPPES public registry.