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PRIMARY MEDICAL CARE GROUP
NPI 1689737603
Family Medicine - Adult Medicine in Decatur, GA

Active since December 19, 2006CLIA 11D1062227 · Waiver
5322 SNAPFINGER PARK DR, DECATUR, GA 30035(404) 289-9784(404) 289-9785 Get Directions Write a Review

NPPES record last updated: March 29, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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

NPI1689737603
Entity TypeOrganization
Primary Taxonomy207QA0505X
Legal Business NamePRIMARY MEDICAL CARE GROUP
Location Address5322 SNAPFINGER PARK DRDecatur, GA 30035-4040
Mailing Address5322 Snapfinger Park DrDecatur, GA 30035-4040 · (404) 289-9784 · Fax (404) 289-9785
Phone(404) 289-9784
Fax(404) 289-9785
Organization SubpartNo
Authorized OfficialMusibau A IbraheemPhysician Owner · (404) 289-9784
Enumeration DateDecember 19, 2006
Last NPPES UpdateMarch 29, 2021
NPPES CertifiedMarch 29, 2021
✔ NPI 1689737603 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Adult MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QA0505X
License✔ Licensed in GA · 052963
Definition

The National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code.

5322 SNAPFINGER PARK DR, Decatur, GA 30035
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

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

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, GA
Active · expires Dec 10, 2026
CLIA Number11D1062227
Laboratory TypePhysician Office
Certificate Effective DateDecember 11, 2024
Certificate Expiration DateDecember 10, 2026
Laboratory DirectorA Ibraheem Musibau
Laboratory Phone(404) 289-9784
Laboratory LocationPrimary Medical Care Group5322 Snapfinger Park Drive, Decatur, GA 30035
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

MUSIBAU A IBRAHEEM MD
Family Medicine
5322 SNAPFINGER PARK DR
DECATUR, GA 30035
Dekalb County (404) 289-9784

Frequently Asked Questions

What is PRIMARY MEDICAL CARE GROUP's NPI number?

The NPI number assigned to this healthcare provider is 1689737603, enumerated as an "organization" on December 19, 2006.

Where is the provider located?

The provider is located at 5322 SNAPFINGER PARK DR DECATUR, GA 30035 and the phone number is (404) 289-9784.

What is the provider's specialty?

Family Medicine with taxonomy code 207QA0505X and a focus in Adult Medicine.

What insurance does PRIMARY MEDICAL CARE GROUP accept?

The provider might be accepting Accepts: Ambetter from Absolute Total Care, Ambetter. Please consult your insurance carrier or call the provider to verify.