# GAMD PCP MEDICAL GROUP 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:** 1689485799
- **Authorized official:** KWASI BADU (MANAGER)
- **Authorized official phone:** (480) 824-8446

## Contact information

- **Practice address:** 5473 OLD FLOYD RD SW, MABLETON, GA 30126-2203
- **Practice address phone:** (480) 824-8446
- **Mailing address:** 5473 OLD FLOYD RD SW, MABLETON, GA 30126-2203
- **Mailing address phone:** (480) 824-8446

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251J00000X | Nursing Care Agency | — | NULL | — |
| 261QC1500X | Community Health Clinic/Center | — | NULL | Yes |
| 261QP1100X | Podiatric Clinic/Center | — | NULL | — |
| 305R00000X | Preferred Provider Organization | — | NULL | — |

## Other

- **Enumeration date:** 01/17/2025
- **Last updated:** 01/17/2025