Active NPI
Anytime MD Internal Medicine & Physical Therapy LLC
- Multi-Specialty Clinic/Center
- Austell, GA
National Provider Identifier
1407544216
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Multi-Specialty Clinic/Center
- Legal business name
- ANYTIME MD INTERNAL MEDICINE & PHYSICAL THERAPY LLC
- Practice address
- 4898 Austell Rd Ste B
Austell, GA 30106-2055 - Phone
- (770) 675-6149
- Fax
- (770) 635-8017
- NPI assigned
- Apr 28, 2023
- Last updated
- Oct 16, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Paul Edjua, MD
- Title
- Owner/Medical Director
- Phone
- (530) 848-5863
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Multi-Specialty Clinic/Center | 261QM1300X | NU | Primary | |
| Physical Therapy Clinic/Center | 261QP2000X | NU |
Addresses
Primary practice location
4898 Austell Rd Ste B
Austell, GA 30106-2055
Mailing address
4898 Austell Rd Ste B
Austell, GA 30106-2055
Phone (770) 675-6149
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
4898 Austell Rd
Ste B
Austell, GA 30106
Phone (770) 675-6149
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Internal Medicine Physician
- Marietta, GA
- NPI 1386894228
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1682640000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1760572800000",
"number": "1407544216",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4898 AUSTELL RD STE B",
"city": "AUSTELL",
"state": "GA",
"postal_code": "301062055",
"telephone_number": "770-675-6149",
"fax_number": "770-635-8017"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4898 AUSTELL RD STE B",
"city": "AUSTELL",
"state": "GA",
"postal_code": "301062055",
"telephone_number": "770-675-6149",
"fax_number": "770-635-8017"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ANYTIME MD INTERNAL MEDICINE & PHYSICAL THERAPY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-04-28",
"last_updated": "2025-10-16",
"certification_date": "2025-10-16",
"status": "A",
"authorized_official_last_name": "EDJUA",
"authorized_official_first_name": "PAUL",
"authorized_official_title_or_position": "OWNER/MEDICAL DIRECTOR",
"authorized_official_telephone_number": "530-848-5863",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261QM1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Multi-Specialty",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Austell, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.