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

Lagrange Primary Care PC

Organization Internal Medicine Physician · NPI 1548501380

Lagrange Primary Care PC is an Internal Medicine Physician in Lagrange, Georgia. Licensed in Georgia. Registered with an NPI since 2013.

Licensed in
GA
In the registry since
2013
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

505 Jenkins St
Lagrange, GA 30240-4225
Phone: (678) 923-9486
Fax: (678) 401-0292
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 062529 (GA)

Record details

NPI number1548501380
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Vishwas Kadam — Owner · (678) 923-9486
NPI enumeratedMarch 4, 2013
Last updated in NPPESJune 25, 2013
Mailing address25 Turnberry Cir, Newnan, GA 30265-4154

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