CenterWell Senior Primary Care-East Paulding – Internal Medicine Physician, NPI 1366269367

CenterWell Senior Primary Care-East Paulding is a healthcare provider. based in Miami, Florida. specializing in Internal Medicine Physician. The NPI Number for CenterWell Senior Primary Care-East Paulding is 1366269367

Main info

Organization
Name
CenterWell Senior Primary Care-East Paulding
NPI
1366269367
Phone
(407) 447-7120
Address
6101 BLUE LAGOON DR STE 200
Authorized Official
ANGIE MARTINEZ SENIOR CREDENTIALING PROFESSIONAL
Enumeration Date
23 September 2024
Last Update Date
17 December 2024
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience27
Completeness80
Years active:1State licenses:0Digital endpointsUpdated within 12 months

Provider Addresses for CenterWell Senior Primary Care-East Paulding

  • 6101 BLUE LAGOON DR STE 200

    MIAMI, FL 331263168

    Phone: (407) 447-7120

    Fax: (407) 770-0661

    Type: Mailing

  • 3615 CHARLES HARDY PKWY # 200

    DALLAS, GA 301579472

    Phone: (678) 941-6247

    Fax: (678) 293-9610

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

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No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 33126)

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Reviews

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Frequently asked questions

How do payers reference CenterWell Senior Primary Care-East Paulding?
For CenterWell Senior Primary Care-East Paulding, use NPI 1366269367 as the unique 10-digit identifier.
Would CenterWell Senior Primary Care-East Paulding appear as active to a payer?
You can treat CenterWell Senior Primary Care-East Paulding as active for directory purposes; confirm clinical privileges separately.
What kind of doctor is CenterWell Senior Primary Care-East Paulding?
CenterWell Senior Primary Care-East Paulding is associated with Internal Medicine Physician in the directory — Clinical services aligned with this taxonomy classification.
Where in Florida is CenterWell Senior Primary Care-East Paulding registered?
Use Miami, Florida as the headline location for CenterWell Senior Primary Care-East Paulding here.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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