Organization · Type 2 NPI

Medlink Georgia Inc

Federally Qualified Health Center (FQHC) · Lawrenceville, GA

NPI number 1649829532 Active

Practice location

980 Lawrenceville Hwy
Lawrenceville, GA 30046-4706

Call (770) 676-6500 Map

Mailing address

PO Box 459
Colbert, GA 30628-0459

Specialties and licenses

Taxonomy	Code	License
Federally Qualified Health Center (FQHC) Primary	261QF0400X	None listed

Federally Qualified Health Center (FQHC): Definition to come...

3 other providers at this address

Lyrica Linnae Solomon, LMFTMarriage & Family Therapist Lawrenceville, GA NPI 1700757499
Mary Cardina Mobbs, FNP-BCFamily Nurse Practitioner Lawrenceville, GA NPI 1912169079
Mohammed R. Ahmeduddin, DPMPodiatrist Lawrenceville, GA NPI 1295998722

Other federally qualified health center (fqhc) providers in Lawrenceville

See all in Lawrenceville →

NPI record

NPI: 1649829532
Entity type: Organization (Type 2)
Issued: Sep 4, 2019
Last updated: Feb 11, 2025
Status: Active
Subpart: Yes of Medlink Georgia Inc

Other names

<unavail>
Medlink Gwinnett · doing business as
Medlink Gwinnett · doing business as
Medlink Lawrenceville · other name

Authorized official

Dave Ward
CEO
(706) 788-3234

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1649829532

Medlink Georgia Inc's National Provider Identifier is 1649829532, issued on Sep 4, 2019. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Lawrenceville, GA. The record was last updated on Feb 11, 2025.