SPECTRUM INTERNAL MEDICINE, LLC – Primary Care Clinic/Center, NPI 1437576659

SPECTRUM INTERNAL MEDICINE, LLC is a healthcare provider. based in Alpharetta, Georgia. specializing in Primary Care Clinic/Center. The organization holds a License No. 58939 (GA). The NPI Number for SPECTRUM INTERNAL MEDICINE, LLC is 1437576659

Main info

Organization
Name
SPECTRUM INTERNAL MEDICINE, LLC
NPI
1437576659
Phone
(678) 319-9901
Address
401 S MAIN ST
Authorized Official
DR. JULIUS KOLAWOLE ADEBISI MEDICAL DIRECTOR M.D
Enumeration Date
26 March 2014
Last Update Date
26 March 2014
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience38
Completeness75
Years active:12State licenses:1Digital endpointsOther names

Provider Addresses for SPECTRUM INTERNAL MEDICINE, LLC

  • 401 S MAIN ST

    SUITE B3

    ALPHARETTA, GA 300091974

    Phone: (678) 319-9901

    Fax: (678) 319-9902

    Mailing address matches the actual address.

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.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

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

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2014-10-15

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2025-07-31 (319 days ago).

Enrollment records

1

Earliest due date

2025-07-31

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
O20141015000971OClinic/Group PracticeGA2025-07-31

What to do next

  • Verify current status on the CMS Revalidation Lookup Tool immediately.
  • Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
  • Overdue revalidation can lead to deactivation of Medicare billing privileges.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

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 30009)

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Reviews

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Frequently asked questions

How do payers reference SPECTRUM INTERNAL MEDICINE, LLC?
For SPECTRUM INTERNAL MEDICINE, LLC, use NPI 1437576659 as the unique 10-digit identifier.
Would SPECTRUM INTERNAL MEDICINE, LLC appear as active to a payer?
You can treat SPECTRUM INTERNAL MEDICINE, LLC as active for directory purposes; confirm clinical privileges separately.
What kind of doctor is SPECTRUM INTERNAL MEDICINE, LLC?
SPECTRUM INTERNAL MEDICINE, LLC is associated with Primary Care Clinic/Center in the directory — Clinical services aligned with this taxonomy classification.
Is SPECTRUM INTERNAL MEDICINE, LLC associated with Alpharetta?
Public fields place SPECTRUM INTERNAL MEDICINE, LLC around Alpharetta, Georgia. Always confirm the exact site before visiting.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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