Providence Rd Primary Care LLC
NPI 1831537539 · Internal Medicine Physician · Marietta, GA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Providence Rd Primary Care LLC is a Internal Medicine Physician organization in Marietta, GA (NPI 1831537539).
Provider details
- NPI number
- 1831537539
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Amma Abunyewa, Provider(770) 973-4749
- License
- 64774 (GA)
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
13 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
Registry dates
- Enumerated
- 2013-06-05
- Last updated
- 2013-06-05
Frequently asked questions
- What is Providence Rd Primary Care LLC's NPI number?
- Providence Rd Primary Care LLC's National Provider Identifier (NPI) is 1831537539, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Providence Rd Primary Care LLC?
- Providence Rd Primary Care LLC is classified in the NPPES registry as Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Providence Rd Primary Care LLC located?
- Providence Rd Primary Care LLC's practice location on file with NPPES is 4180 Providence Rd, Marietta, GA 30062-6186.
- What is Providence Rd Primary Care LLC's phone number?
- The practice phone number listed in the NPPES registry for Providence Rd Primary Care LLC is (770) 973-4749.
- Does Providence Rd Primary Care LLC accept Medicare?
- Providence Rd Primary 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 Providence Rd Primary Care LLC?
- The authorized official listed on Providence Rd Primary Care LLC's NPPES record is Amma Abunyewa, Provider. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Providence Rd Primary Care LLC's NPI active?
- Yes — Providence Rd Primary Care LLC's NPI (1831537539) is active in the NPPES registry as of the last update on 2013-06-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.