Organization · Type 2 NPI

Evergreen Mobile Primary Care LLC

Family Nurse Practitioner · Suwanee, GA

NPI number 1083557268 Active

Practice location

4485 Tench Rd Ste 1020
Suwanee, GA 30024-6741

Call (770) 265-0864 Map

Fax (770) 264-1879

Mailing address

2245 Wisteria Dr Ste 200-1154
Snellville, GA 30078-3798

Specialties and licenses

Taxonomy	Code	License
Family Nurse Practitioner Primary	363LF0000X	None listed

Family Nurse Practitioner: Definition to come...

3 other providers at this address

Medsmart USA Dme LLCDurable Medical Equipment & Medical Supplies Suwanee, GA NPI 1174012231
Adedotun Oluwatosin AdedipeMental Health Counselor Suwanee, GA NPI 1942109541
Oluseun Ayodele Babatunde, APRN, FNP-BCFamily Nurse Practitioner Suwanee, GA NPI 1649124793

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About NPI 1083557268

Evergreen Mobile Primary Care LLC's National Provider Identifier is 1083557268, issued on Apr 13, 2026. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Suwanee, GA. The record was last updated on Aug 6, 2026.