GUARDIAN PHYSICIAN SERVICES LLC
NPI 1891280764
Family Medicine in Atlanta, GA

Active since June 24, 2018CLIA 11D2270321 · Waiver
4651 ROSWELL RD STE D308, ATLANTA, GA 30342(404) 947-4842 Get Directions Write a Review

NPPES record last updated: March 25, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 4, 2019, Aug 6, 2018, Jun 24, 2018 (3 updates tracked since 2018).

About Guardian Physician Services Llc NPPES

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

GUARDIAN PHYSICIAN SERVICES LLC (NPI 1891280764) is a healthcare organization registered as a family medicine in Atlanta, Georgia and active in the NPI registry since June 2018. The organization holds a CLIA Waiver certificate valid through October 12, 2026, maintains a secondary practice location in Marietta, and lists Adebola Oyekoya, Owner, as its authorized official.

NPPES Registry Identity

NPI1891280764
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameGUARDIAN PHYSICIAN SERVICES LLC
Location Address4651 ROSWELL RD STE D308Atlanta, GA 30342-3055
Mailing Address4651 Roswell Rd Ste D308Atlanta, GA 30342-3055 · (404) 947-4842
Organization SubpartNo
Authorized OfficialAdebola OyekoyaOwner · (404) 947-4842
Enumeration DateJune 24, 2018
Last NPPES UpdateMarch 25, 20243 updates tracked since enumeration
NPPES CertifiedOctober 13, 2023
NPI 1891280764 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.
4651 ROSWELL RD STE D308, Atlanta, GA 30342

Secondary Practice Location 1

Location 1144 South Ave SEMarietta, GA 30060-2377 · Phone (404) 947-4842 · Fax (404) 947-8244

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

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 11D2270321

Guardian Physicians · Atlanta, GA
Active · expires Oct 12, 2026
CLIA Number11D2270321
Laboratory TypePhysician Office
Certificate Effective DateOctober 13, 2024
Certificate Expiration DateOctober 12, 2026
Laboratory DirectorAdebola I. Oyekoya
Laboratory Phone(404) 947-4842
Laboratory LocationGuardian Physicians4651 Roswell Road, Suite D 308, Atlanta, GA 30342
CLIA data matches this NPI record on: 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.

Family Medicine
4651 ROSWELL RD STE D308
ATLANTA, GA 30342

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 Guardian Physician Services LLC's NPI number?

The NPI number for Guardian Physician Services LLC is 1891280764. It was assigned to this organization in the NPPES registry on June 24, 2018.

Where is Guardian Physician Services LLC located?

Guardian Physician Services LLC is located at 4651 Roswell Rd Ste D308, Atlanta, GA 30342. The listed phone number is (404) 947-4842.

What is Guardian Physician Services LLC's specialty?

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

Does Guardian Physician Services LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2270321) is associated with this NPI, valid through October 12, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Guardian Physician Services LLC accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Guardian Physician Services 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 Guardian Physician Services LLC was last updated on March 25, 2024. 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.