Healthcare Provider Details

I. General information

NPI: 1326900218
Provider Name (Legal Business Name): LOVELY PRIMARY CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/29/2025
Last Update Date: 11/29/2025
Certification Date: 11/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2695 SUGARLOAF PKWY STE 1200
LAWRENCEVILLE GA
30045-9459
US

IV. Provider business mailing address

2695 SUGARLOAF PKWY STE 1200
LAWRENCEVILLE GA
30045-9459
US

V. Phone/Fax

Practice location:
  • Phone: 678-272-4000
  • Fax: 866-538-4953
Mailing address:
  • Phone: 678-272-4000
  • Fax: 866-538-4953

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: EMERALD LOVELY
Title or Position: CEO
Credential: MD
Phone: 678-444-7878