Clarkston Primary & Urgent Care, Llc - Medicare Primary Care in Clarkston, GA

  1. Home
  2. Primary Care Clinics
  3. GA
  4. Clarkston
Clarkston Primary & Urgent Care, Llc is a medicare enrolled primary clinic (Family Medicine) in Clarkston, Georgia. The current practice location for Clarkston Primary & Urgent Care, Llc is 4600 E Ponce De Leon Ave Ste A, Clarkston, Georgia. For appointments, you can reach them via phone at (770) 703-5408. The mailing address for Clarkston Primary & Urgent Care, Llc is 4600 E Ponce De Leon Ave Ste A, Clarkston, Georgia and phone number is (770) 703-5408.

Clarkston Primary & Urgent Care, Llc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1043781420. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (770) 703-5408.

Contact Information

Clarkston Primary & Urgent Care, Llc
4600 E Ponce De Leon Ave Ste A
Clarkston
GA 30021-1839
(770) 703-5408
(877) 779-5837

Map and Direction


Primary Care Clinic Profile

Full NameClarkston Primary & Urgent Care, Llc
SpecialityFamily Medicine
Location4600 E Ponce De Leon Ave Ste A, Clarkston, Georgia
Authorized Official Name and PositionEtsubdenke Areaya (AUTHORIZED OFFICIAL)
Authorized Official Contact6787632247
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Clarkston Primary & Urgent Care, Llc
4600 E Ponce De Leon Ave Ste A
Clarkston
GA 30021-1839

Ph: (770) 703-5408		Clarkston Primary & Urgent Care, Llc
4600 E Ponce De Leon Ave Ste A
Clarkston
GA 30021-1839

Ph: (770) 703-5408

NPI Details:

NPI Number1043781420
Provider Enumeration Date12/11/2018
Last Update Date12/11/2018

Medicare PECOS Information:

Medicare PECOS PAC ID9537401450
Medicare Enrollment IDO20241102000245

Medical Identifiers

Medical identifiers for Clarkston Primary & Urgent Care, Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1043781420NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Clarkston Primary & Urgent Care, Llc acts as a billing entity for following providers:
Provider NameMandana Rezaei Amiri
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1518923879
PECOS PAC ID: 8628057940
Enrollment ID: I20040719001079
Provider NameLilian Ayidi Vende
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1225886609
PECOS PAC ID: 6305370222
Enrollment ID: I20241114000300

Reviews and Comments


Family Medicine in Clarkston, GA


Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 4112 E Ponce De Leon Ave, Clarkston, GA 30021
Phone: 404-296-7133    
Greater Atlanta Family Healthcare Llc
Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: 3700 Market St, Ste C, Clarkston, GA 30021
Phone: 404-298-9333    Fax: 404-298-9931

Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: 980 Rowland St Ste 4190, Clarkston, GA 30021
Phone: 470-799-0044    Fax: 470-799-0045
Revive Wound Care Ga Llc
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 980 Rowland St, Ste 5140 #1111, Clarkston, GA 30021
Phone: 951-760-6216    
Clarkston Community Health Center, Inc.
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 3700 Market St, Suite E-1, Clarkston, GA 30021
Phone: 678-359-2060    

Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 3660 Market St, Clarkston, GA 30021
Phone: 470-355-7896    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.