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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 30 days.

BLUEGLOVE PRIMARY CARE LLC
NPI 1891616876
Internal Medicine in Marietta, GA

Active since July 23, 2026
815 PINE MNR, MARIETTA, GA 30066(770) 405-9320 Get Directions Write a Review

NPPES record added: July 23, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Blueglove Primary Care Llc NPPES

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

BLUEGLOVE PRIMARY CARE LLC (NPI 1891616876) is a healthcare organization registered as an internal medicine in Marietta, Georgia and active in the NPI registry since July 2026. The organization lists Jiexi Liao, Managing Member, as its authorized official.

NPPES Registry Identity

NPI1891616876
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameBLUEGLOVE PRIMARY CARE LLC
Location Address815 PINE MNRMarietta, GA 30066-3837
Mailing Address815 Pine MnrMarietta, GA 30066-3837
Phone(770) 405-9320
Organization SubpartNo
Authorized OfficialJiexi LiaoManaging Member · (770) 405-9320
Enumeration DateJuly 23, 2026
NPPES CertifiedJuly 23, 2026
✔ NPI 1891616876 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
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.
815 PINE MNR, Marietta, GA 30066
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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

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 Blueglove Primary Care LLC's NPI number?

The NPI number for Blueglove Primary Care LLC is 1891616876. It was assigned to this organization in the NPPES registry on July 23, 2026.

Where is Blueglove Primary Care LLC located?

Blueglove Primary Care LLC is located at 815 Pine Mnr, Marietta, GA 30066. The listed phone number is (770) 405-9320.

What is Blueglove Primary Care LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Blueglove Primary Care LLC was last updated on July 23, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.