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EBT HOLDINGS OF GEORGIA INCORPORATED
NPI 1871287250
Family Medicine in Lawrenceville, GA

Active since June 07, 2023
1430 FIVE FORKS TRICKUM RD STE 220, LAWRENCEVILLE, GA 30044(786) 352-7021(786) 698-1632 Get Directions Write a Review

NPPES record last updated: December 5, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 5, 2023, Jun 7, 2023 (2 updates tracked since 2023).

About Ebt Holdings Of Georgia Incorporated NPPES

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

EBT HOLDINGS OF GEORGIA INCORPORATED (NPI 1871287250) is a healthcare organization registered as a family medicine in Lawrenceville, Georgia and active in the NPI registry since June 2023. The organization lists Enrique Massuet Valdes, Vice President, as its authorized official.

NPPES Registry Identity

NPI1871287250
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameEBT HOLDINGS OF GEORGIA INCORPORATED
Location Address1430 FIVE FORKS TRICKUM RD STE 220Lawrenceville, GA 30044-8183
Mailing Address1430 Five Forks Trickum Rd Ste 220Lawrenceville, GA 30044-8183 · (786) 352-7021 · Fax (786) 698-1632
Phone(786) 352-7021
Fax(786) 698-1632
Organization SubpartNo
Authorized OfficialEnrique Massuet ValdesVice President · (786) 352-7021
Enumeration DateJune 7, 2023
Last NPPES UpdateDecember 5, 20232 updates tracked since enumeration
NPPES CertifiedDecember 5, 2023
✔ NPI 1871287250 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1430 FIVE FORKS TRICKUM RD STE 220, Lawrenceville, GA 30044
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

DR. ANDREA ELIZABETH ANDREWS M.D.
Family Medicine
1430 FIVE FORKS TRICKUM RD STE 220, GEORGIA FAMILY CARE, LLC
LAWRENCEVILLE, GA 30044
Gwinnett County (678) 205-4999

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 Ebt Holdings Of Georgia Incorporated's NPI number?

The NPI number for Ebt Holdings Of Georgia Incorporated is 1871287250. It was assigned to this organization in the NPPES registry on June 7, 2023.

Where is Ebt Holdings Of Georgia Incorporated located?

Ebt Holdings Of Georgia Incorporated is located at 1430 Five Forks Trickum Rd Ste 220, Lawrenceville, GA 30044. The listed phone number is (786) 352-7021.

What is Ebt Holdings Of Georgia Incorporated's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Ebt Holdings Of Georgia Incorporated was last updated on December 5, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.