MEDICARE: EAST POINT PRIMARY CARE CENTER, PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	051703	GA
2	207Q00000X	Family Medicine Physician	051703	GA

General Provider Information

NPI Number	:	1023186384
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EAST POINT PRIMARY CARE CENTER, PC

Provider Business Mailing Address
First Line	:	1203 CLEVELAND AVE
Second Line	:	SUITE 2-D
City	:	EAST POINT
State	:	GA
Zip	:	30344-3417
Country	:	US
Telephone Number	:	404-684-7111
Fax Number	:	404-684-7112

Provider Business Practice Location Address
First Line	:	1203 CLEVELAND AVE
Second Line	:	SUITE 2-D
City	:	EAST POINT
State	:	GA
Zip	:	30344-3417
Country	:	US
Telephone Number	:	404-684-7111
Fax Number	:	404-684-7112

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. OLADAYO ADISA OSINUGA
Credential	:	MD
Telephone Number	:	404-684-7111

Provider Enumeration Date	:	12/02/2006
Last Update Date	:	09/11/2025

Similar Medicare Providers

1548216732 — DR. SHAKOORA CENA OMONUWA M.D.
Practice Location Address:

1203 CLEVELAND AVE , STE 1-B
EAST POINT, GA
30344-3417

Practice Phone: 404-767-8884
Practice Fax: 404-768-3479

1093728404 — DR. BETTY ELIZABETH STRONG MD
Practice Location Address:

1203 CLEVELAND AVE , SUITE 1-A
EAST POINT, GA
30344-3417

Practice Phone: 404-835-2891
Practice Fax: 404-835-2899

1487762795 — ATLANTA OBSTETRICS AND FAMILY CARE, P.C.
Practice Location Address:

1203 CLEVELAND AVE , SUITE 1A
EAST POINT, GA
30344-3417

Practice Phone: 404-305-8900
Practice Fax:

1356438287 — MS. ELLEN L VAUGHT OTR/L
Practice Location Address:

1203 CLEVELAND AVE , SUITE 1A
EAST POINT, GA
30344-3417

Practice Phone: 678-783-7845
Practice Fax: 404-973-3256

1932306099 — LILLIAN MARIA NAGADDYA FNP-C
Practice Location Address:

1203 CLEVELAND AVE , SUITE 2-D
EAST POINT, GA
30344-3417

Practice Phone: 404-684-7111
Practice Fax: 404-684-7112

1306004288 — DR. KISHA NICOLE CARTER D.M.D.
Practice Location Address:

1203 CLEVELAND AVE STE 1A
EAST POINT, GA
30344-3417

Practice Phone: 404-595-5104
Practice Fax: 404-601-7777

Directions to “EAST POINT PRIMARY CARE CENTER, PC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.