Ebt Holdings of Georgia Incorporated
NPI 1871287250 · Family Medicine Physician · Lawrenceville, GA
Ebt Holdings of Georgia Incorporated is a Family Medicine Physician organization in Lawrenceville, GA (NPI 1871287250).
Provider details
- NPI number
- 1871287250
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Enrique Massuet Valdes, Vice President(786) 352-7021
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
3 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
- 2023-06-07
- Last updated
- 2023-12-05
- Certified
- 2023-12-05
Frequently asked questions
- What is Ebt Holdings of Georgia Incorporated's NPI number?
- Ebt Holdings of Georgia Incorporated's National Provider Identifier (NPI) is 1871287250, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Ebt Holdings of Georgia Incorporated?
- Ebt Holdings of Georgia Incorporated is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Ebt Holdings of Georgia Incorporated located?
- Ebt Holdings of Georgia Incorporated's practice location on file with NPPES is 1430 Five Forks Trickum Rd Ste 220, Lawrenceville, GA 30044-8183.
- What is Ebt Holdings of Georgia Incorporated's phone number?
- The practice phone number listed in the NPPES registry for Ebt Holdings of Georgia Incorporated is (786) 352-7021.
- Who is the authorized official for Ebt Holdings of Georgia Incorporated?
- The authorized official listed on Ebt Holdings of Georgia Incorporated's NPPES record is Enrique Massuet Valdes, Vice President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Ebt Holdings of Georgia Incorporated's NPI active?
- Yes — Ebt Holdings of Georgia Incorporated's NPI (1871287250) is active in the NPPES registry as of the last update on 2023-12-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.