OrganizationActive
Executive Medical Associates P.C.
NPI 1104204379 · Clinic/Center · Tucker, GA
Executive Medical Associates P.C. is a Clinic/Center organization in Tucker, GA (NPI 1104204379).
Provider details
- NPI number
- 1104204379
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Lee Wilkes, Owner/Medical Director(770) 572-7574
- License
- RN162951 (GA)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(74/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 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
4426 Hugh Howell Rd
Suite B303
Tucker, GA 30084-4918
Phone: (770) 572-7574
Street-level locationGet directions
Mailing address
59 Beams Way
Dallas, GA 30157-2517
Registry dates
- Enumerated
- 2015-05-08
- Last updated
- 2015-05-08
Frequently asked questions
- What is Executive Medical Associates P.C.'s NPI number?
- Executive Medical Associates P.C.'s National Provider Identifier (NPI) is 1104204379, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Executive Medical Associates P.C.?
- Executive Medical Associates P.C. is classified in the NPPES registry as Clinic/Center (Ambulatory Health Care Facilities).
- Where is Executive Medical Associates P.C. located?
- Executive Medical Associates P.C.'s practice location on file with NPPES is 4426 Hugh Howell Rd, Tucker, GA 30084-4918.
- What is Executive Medical Associates P.C.'s phone number?
- The practice phone number listed in the NPPES registry for Executive Medical Associates P.C. is (770) 572-7574.
- Who is the authorized official for Executive Medical Associates P.C.?
- The authorized official listed on Executive Medical Associates P.C.'s NPPES record is Lee Wilkes, Owner/Medical Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Executive Medical Associates P.C.'s NPI active?
- Yes — Executive Medical Associates P.C.'s NPI (1104204379) is active in the NPPES registry as of the last update on 2015-05-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.