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PERSONALIZED PRIMARY CARE OF ATLANTA LLC
NPI 1740506427
Internal Medicine in Atlanta, GA

Active since April 20, 2010CLIA 11D2007652 · Waiver
57 EXECUTIVE PARK S, STE 390, ATLANTA, GA 30329(404) 371-1033(404) 997-6790 Get Directions Write a Review

NPPES record last updated: November 1, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Personalized Primary Care Of Atlanta Llc NPPES

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

PERSONALIZED PRIMARY CARE OF ATLANTA LLC (NPI 1740506427) is a healthcare organization registered as an internal medicine in Atlanta, Georgia and active in the NPI registry since April 2010. The organization holds a CLIA Waiver certificate valid through May 20, 2028 and lists Juliet K. Mavromatis, President/owner, as its authorized official.

NPPES Registry Identity

NPI1740506427
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NamePERSONALIZED PRIMARY CARE OF ATLANTA LLC
Location Address57 EXECUTIVE PARK S, STE 390Atlanta, GA 30329-2288
Mailing Address57 Executive Park S Ste 390Atlanta, GA 30329-2255 · (404) 997-6790 · Fax (404) 997-6791
Phone(404) 371-1033
Fax(404) 997-6790
Organization SubpartNo
Authorized OfficialJuliet K. MavromatisPresident/owner · (404) 583-0978
Enumeration DateApril 20, 2010
Last NPPES UpdateNovember 1, 2022
NPPES CertifiedNovember 1, 2022
✔ NPI 1740506427 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in GA · 043699
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
57 EXECUTIVE PARK S, Atlanta, GA 30329
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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 Alliant Health Plans, Inc..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 11D2007652

Personalized Primarycare Of Atlanta, LLC · Atlanta, GA
Active · expires May 20, 2028
CLIA Number11D2007652
Laboratory TypePhysician Office
Certificate Effective DateMay 21, 2026
Certificate Expiration DateMay 20, 2028
Laboratory DirectorJuliet Mavromatis
Laboratory Phone(404) 997-6790
Laboratory LocationPersonalized Primarycare Of Atlanta, LLC57 Executive Park South, Suite 390, Atlanta, GA 30329
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 9

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

MATTHEW STEWART CAROPRESO
Student in an Organized Health Care Education/Training Program
57 EXECUTIVE PARK S
ATLANTA, GA 30329
Dekalb County (404) 727-5910
DR. WANYUN ZHONG L.A.C
Acupuncturist
57 EXECUTIVE PARK S, SUITE 150
ATLANTA, GA 30329
Dekalb County (770) 630-6819
LEEANNA BLACKBURN
Anesthesiologist Assistant
57 EXECUTIVE PARK S
ATLANTA, GA 30329
Dekalb County (423) 754-7586
DR. JULIET KOTTAK MAVROMATIS M.D.
Internal Medicine
57 EXECUTIVE PARK S, STE 390
ATLANTA, GA 30329
Dekalb County (404) 997-6790
H & Z ACUPUNCTURE LLC
Clinic/Center (Medical Specialty)
57 EXECUTIVE PARK S
ATLANTA, GA 30329
Dekalb County (770) 630-6819
KESHALI PATEL
Student in an Organized Health Care Education/Training Program
57 EXECUTIVE PARK S
ATLANTA, GA 30329
Dekalb County (404) 712-6929
H & Z ACUPUNCTURE LLC
Clinic/Center (Medical Specialty)
57 EXECUTIVE PARK S, 150
ATLANTA, GA 30329
Dekalb County (770) 630-6819
SHANNON JAMES STOUGH
Student in an Organized Health Care Education/Training Program
57 EXECUTIVE PARK S
ATLANTA, GA 30329
Dekalb County (404) 907-7574

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 Personalized Primary Care Of Atlanta LLC's NPI number?

The NPI number for Personalized Primary Care Of Atlanta LLC is 1740506427. It was assigned to this organization in the NPPES registry on April 20, 2010.

Where is Personalized Primary Care Of Atlanta LLC located?

Personalized Primary Care Of Atlanta LLC is located at 57 Executive Park S Ste 390, Atlanta, GA 30329. The listed phone number is (404) 371-1033.

What is Personalized Primary Care Of Atlanta LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Personalized Primary Care Of Atlanta LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2007652) is associated with this NPI, valid through May 20, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Personalized Primary Care Of Atlanta LLC accept?

Health plans from Alliant Health Plans, Inc. list Personalized Primary Care Of Atlanta LLC 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 Personalized Primary Care Of Atlanta LLC was last updated on November 1, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.