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: October 25, 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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Bethesda Medical Group, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Bethesda Medical Group, LLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Family Practice
NPI 1265505531
4039 ATLANTA ST STE 100
Powder Springs, GA 30127
(770) 241-1326
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1770973232
4039 ATLANTA ST STE 100
Powder Springs, GA 30127
(770) 301-0846
✔ PECOSSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Is Bethesda Medical Group, LLC enrolled in Medicare?

Yes. Bethesda Medical Group, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Bethesda Medical Group, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Bethesda Medical Group, LLC, in Family Practice and Nurse Practitioner. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 5 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.