# OPTIMUM PRIMARY CARE LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1366252462
- **Authorized official:** NANCY BELLINGER (NP)
- **Authorized official phone:** (470) 987-1512

## Contact information

- **Practice address:** 7145 CAVENDER DR SW, ATLANTA, GA 30331-9423
- **Practice address phone:** (404) 902-0821
- **Practice address fax:** (855) 450-1334
- **Mailing address:** 7145 CAVENDER DR SW, ATLANTA, GA 30331-9423
- **Mailing address phone:** (470) 987-1512
- **Mailing address fax:** (855) 576-4868

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QC1500X | Community Health Clinic/Center | — | NULL | — |
| 261QH0100X | Health Service Clinic/Center | — | NULL | — |
| 261QM0850X | Adult Mental Health Clinic/Center | — | NULL | — |
| 261QP2300X | Primary Care Clinic/Center | — | NULL | — |
| 363L00000X | Nurse Practitioner | — | NULL | Yes |
| 363L00000X | Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 01/10/2025
- **Last updated:** 09/17/2026