Apex Medical Center PC
Organization Active NPI Internal Medicine Physician · Marietta, GA
NPI 1982883377 · NPPES record last updated May 16, 2025
Key facts
- NPI
- 1982883377
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 046826 (GA)
- Legal business name
- APEX MEDICAL CENTER PC
- Practice address
- 1930 Powder Springs Rd SW
Suite 1120
Marietta, GA 30064-4324 - Phone
- (770) 427-7800
- Fax
- (770) 427-6565
- NPI assigned
- Nov 1, 2007
- Organization subpart
- No
Authorized official
- Name
- Mrs. Paula Bain
- Title
- Office Manager
- Phone
- (770) 427-7800
Practitioners 1
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 11D1039280 | Apex Medical Center | Certificate of waiver | Apr 10, 2027 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040819001151 | GA | Part B Supplier - Clinic/Group Practice | 6608840319 |
Receives reassigned benefits from 1 practitioner Practice locations: Marietta, GA |
National Provider Directory
Locations
1930 Powder Springs Rd SW
Ste 1120
Marietta, GA 30064
Phone (770) 427-7800
1690 Powder Springs Rd SW
Ste 103
Marietta, GA 30064
Phone (770) 427-7800
1930 Powder Springs Rd SW
Ste 1A
Marietta, GA 30064
Phone (770) 427-7800
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician |
207R00000X | 046826 | GA | Yes |
Addresses
Primary practice location
1930 Powder Springs Rd SW
Suite 1120
Marietta, GA 30064-4324
Mailing address
1930 Powder Springs Rd SW Ste 1120
Marietta, GA 30064-4387
Phone (770) 427-7800
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00860021D | Medicaid | GA | |
| GRP6567 | Other | GA | MEDICARE GROUP |
Other names
- McKinley T Bain
Other providers in Marietta, GA
- Anxiety and Stress Management Institute LLC
- Sheila Anyaoha
- Manolo Bunag Apanay
- Apek ABA Services
- Apex Behavioral Associates, LLC
- Apex Surgical Associates, LLC
- Eric Nicholas Appelbaum
- Mavis Appiah Kubi
- Apple Dental Care
- Michael Alan Applegate
All providers in Marietta, GA · Internal Medicine Physician in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 16, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.