OrganizationActive
Idlewood Medical Clinic Inc
NPI 1316249246 · Adult Medicine Physician · Tucker, GA
Idlewood Medical Clinic Inc is a Adult Medicine Physician organization in Tucker, GA (NPI 1316249246).
Provider details
- NPI number
- 1316249246
- Entity type
- Organization
- Primary specialty
- Adult Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Aida De La Vega, Ceo(305) 388-4383
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(82/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 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
2157 Idlewood Rd
Ste B
Tucker, GA 30084-4832
Phone: (305) 388-4383
Fax: (305) 388-4380
Street-level locationGet directions
Mailing address
2157 Idlewood Rd
Tucker, GA 30084-4832
Registry dates
- Enumerated
- 2010-11-29
- Last updated
- 2010-12-17
Frequently asked questions
- What is Idlewood Medical Clinic Inc's NPI number?
- Idlewood Medical Clinic Inc's National Provider Identifier (NPI) is 1316249246, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Idlewood Medical Clinic Inc?
- Idlewood Medical Clinic Inc is classified in the NPPES registry as Adult Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Idlewood Medical Clinic Inc located?
- Idlewood Medical Clinic Inc's practice location on file with NPPES is 2157 Idlewood Rd, Tucker, GA 30084-4832.
- What is Idlewood Medical Clinic Inc's phone number?
- The practice phone number listed in the NPPES registry for Idlewood Medical Clinic Inc is (305) 388-4383.
- Who is the authorized official for Idlewood Medical Clinic Inc?
- The authorized official listed on Idlewood Medical Clinic Inc's NPPES record is Aida De La Vega, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Idlewood Medical Clinic Inc's NPI active?
- Yes — Idlewood Medical Clinic Inc's NPI (1316249246) is active in the NPPES registry as of the last update on 2010-12-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.