Clarkston Primary & Urgent Care, LLC
NPI 1043781420 · Family Medicine Physician · Clarkston, GA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Clarkston Primary & Urgent Care, LLC is a Family Medicine Physician organization in Clarkston, GA (NPI 1043781420).
Provider details
- NPI number
- 1043781420
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Etsubdenke Areaya, Authorized Official(678) 763-2247
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Former legal business name
- Clarkston Primary & Urgent Care LLC
- Doing business as
- Clarkston Primary & Urgent Care LLC
Registry dates
- Enumerated
- 2018-12-11
- Last updated
- 2018-12-11
Frequently asked questions
- What is Clarkston Primary & Urgent Care, LLC's NPI number?
- Clarkston Primary & Urgent Care, LLC's National Provider Identifier (NPI) is 1043781420, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Clarkston Primary & Urgent Care, LLC?
- Clarkston Primary & Urgent Care, LLC is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Clarkston Primary & Urgent Care, LLC located?
- Clarkston Primary & Urgent Care, LLC's practice location on file with NPPES is 4600 E Ponce De Leon Ave Ste a, Clarkston, GA 30021-1839.
- What is Clarkston Primary & Urgent Care, LLC's phone number?
- The practice phone number listed in the NPPES registry for Clarkston Primary & Urgent Care, LLC is (770) 703-5408.
- Does Clarkston Primary & Urgent Care, LLC accept Medicare?
- Clarkston Primary & Urgent Care, LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Clarkston Primary & Urgent Care, LLC?
- The authorized official listed on Clarkston Primary & Urgent Care, LLC's NPPES record is Etsubdenke Areaya, Authorized Official. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Clarkston Primary & Urgent Care, LLC's NPI active?
- Yes — Clarkston Primary & Urgent Care, LLC's NPI (1043781420) is active in the NPPES registry as of the last update on 2018-12-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.