OrganizationActive
Advance Care Medical Pcp Georgia, Inc.
NPI 1588312946 · Primary Care Clinic/Center · Kennesaw, GA
Provider details
- NPI number
- 1588312946
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Justin Smith, Executive Chairman(866) 668-2188
Specialties & taxonomies
Ambulatory Health Care Facilities
- Multi-Specialty Clinic/Center261QM1300X
Ambulatory Health Care Facilities
Practice location
4300 Bells Ferry Rd Nw
Kennesaw, GA 30144-1304
Phone: (866) 668-2188
Approximate (ZIP-level) locationGet directions
Mailing address
3 School St Ste 303
Glen Cove, NY 11542-2548
Other names (DBA / former)
- Doing business as
- Advance Care Medical Kennesaw Ga
Registry dates
- Enumerated
- 2022-03-15
- Last updated
- 2022-03-15
- Certified
- 2022-03-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.