Primary Medical Care Group
NPI 1689737603ActiveOrganization· Family Medicine, Adult Medicine· Decatur, GA
Family Medicine, Adult Medicine in Decatur, Georgia, registered in NPPES in December 2006. The authorized official on file is Musibau A. Ibraheem, MD, Physician Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1689737603 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 19, 2006 |
| Last updated in NPPES | Mar 29, 2021 |
| Certified by provider | Mar 29, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine, Adult Medicine Primary | 207QA0505X | 052963 | GA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (GA) |
|---|
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