Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Executive Medical Associates PC

Organization Clinic/Center · NPI 1104204379

Executive Medical Associates PC is a Clinic/Center in Tucker, Georgia. Licensed in Georgia. Registered with an NPI since 2015.

Licensed in
GA
In the registry since
2015
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4426 Hugh Howell Rd Ste B303
Tucker, GA 30084-4918
Phone: (770) 572-7574
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinic/Center (primary) Taxonomy 261Q00000X · Licence RN162951 (GA)

Record details

NPI number1104204379
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lee Wilkes — Owner/Medical Director · (770) 572-7574
NPI enumeratedMay 8, 2015
Last updated in NPPESMay 8, 2015
Mailing address59 Beams Way, Dallas, GA 30157-2517

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