BETHESDA MEDICAL GROUP, LLC
NPI 1942686548
Family Medicine in Powder Springs, GA

Active since August 05, 2015
4039 ATLANTA ST STE 100, POWDER SPRINGS, GA 30127(770) 328-6398(706) 793-9397 Get Directions Write a Review

NPPES record last updated: October 8, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Bethesda Medical Group, Llc NPPES

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

BETHESDA MEDICAL GROUP, LLC (NPI 1942686548) is a healthcare organization registered as a family medicine in Powder Springs, Georgia and active in the NPI registry since August 2015. The organization lists Albert Martin Edwards, President, as its authorized official.

NPPES Registry Identity

NPI1942686548
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameBETHESDA MEDICAL GROUP, LLC
Location Address4039 ATLANTA ST STE 100Powder Springs, GA 30127-2666
Mailing AddressPo Box 5Powder Springs, GA 30127-0005 · (770) 328-6398 · Fax (404) 443-0690
Fax(706) 793-9397
Organization SubpartNo
Authorized OfficialAlbert Martin EdwardsPresident · (770) 241-1326
Enumeration DateAugust 5, 2015
Last NPPES UpdateOctober 8, 2021
NPPES CertifiedOctober 8, 2021
NPI 1942686548 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in GA · 30053
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.
4039 ATLANTA ST STE 100, Powder Springs, GA 30127

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

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 11D2115894

Bethesda Medical Group, LLC · Powder Springs, GA
Expired · Jul 13, 2026
CLIA Number11D2115894
Laboratory TypePhysician Office
Certificate Effective DateJuly 14, 2024
Certificate Expiration DateJuly 13, 2026
Laboratory DirectorAlbert Edwards
Laboratory Phone(770) 328-6398
Laboratory LocationBethesda Medical Group, LLC4039 Atlanta Street, Suite 100, Powder Springs, GA 30127
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 2

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

Family Medicine
4039 ATLANTA ST STE 100
POWDER SPRINGS, GA 30127
Nurse Practitioner (Family)
4039 ATLANTA ST STE 100
POWDER SPRINGS, GA 30127

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 Bethesda Medical Group, LLC's NPI number?

The NPI number for Bethesda Medical Group, LLC is 1942686548. It was assigned to this organization in the NPPES registry on August 5, 2015.

Where is Bethesda Medical Group, LLC located?

Bethesda Medical Group, LLC is located at 4039 Atlanta St Ste 100, Powder Springs, GA 30127. The listed phone number is (770) 328-6398.

What is Bethesda Medical Group, LLC'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 Bethesda Medical Group, LLC was last updated on October 8, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.