Advanced Internal Medicine - Medicare Primary Care in Stockbridge, GA

Advanced Internal Medicine is a medicare enrolled primary clinic (Clinic/center - Primary Care) in Stockbridge, Georgia. The current practice location for Advanced Internal Medicine is 235 Medical Blvd, Suite B, Stockbridge, Georgia. For appointments, you can reach them via phone at (770) 960-8855. The mailing address for Advanced Internal Medicine is Po Box 870116, Morrow, Georgia and phone number is (770) 960-8855.

Advanced Internal Medicine is licensed to practice in Georgia (license number 07-12143). The clinic also participates in the medicare program and its NPI number is 1669658829. 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) 960-8855.

Contact Information

Advanced Internal Medicine
235 Medical Blvd
Suite B
Stockbridge
GA 30281-7218
(770) 960-8855
(678) 565-1140

Map and Direction


Primary Care Clinic Profile

Full NameAdvanced Internal Medicine
SpecialityClinic/Center
Location235 Medical Blvd, Stockbridge, Georgia
Authorized Official Name and PositionFaosat O Odemuyiwa (MANAGER)
Authorized Official Contact7709608855
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Advanced Internal Medicine
Po Box 870116
Morrow
GA 30287-0116

Ph: (770) 960-8855
Advanced Internal Medicine
235 Medical Blvd
Suite B
Stockbridge
GA 30281-7218

Ph: (770) 960-8855

NPI Details:

NPI Number1669658829
Provider Enumeration Date01/17/2008
Last Update Date06/30/2010

Medicare PECOS Information:

Medicare PECOS PAC ID6204863764
Medicare Enrollment IDO20050726000984

Medical Identifiers

Medical identifiers for Advanced Internal Medicine such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1669658829NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261QP2300XClinic/center - Primary Care 07-12143 (Georgia)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Advanced Internal Medicine acts as a billing entity for following providers:
Provider NameAbdul O Odemuyiwa
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1528161437
PECOS PAC ID: 3274560735
Enrollment ID: I20110311000692
Provider NameMaxine Mitchell
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1104970441
PECOS PAC ID: 4385746288
Enrollment ID: I20160209001660
Provider NameLevi Jelks
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1306333083
PECOS PAC ID: 5193136927
Enrollment ID: I20201130000484

Reviews and Comments


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Practice Location: 130 Medical Way, Suite B, Stockbridge, GA 30281
Phone: 678-759-0059    Fax: 678-623-8054

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.